Sally Manibusan

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0013841 Issued in OR

Practice address

1700 Geary St SE
Albany, OR 97322-6842

Phone

(541) 812-5533

NPI assigned

Oct 30, 2013

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HRX LTD

  dba Medicap Pharmacy

  • Community/Retail Pharmacy
  • Albany, OR
  • NPI 1699887604
  NPD (past)
• JRRX LLC

  dba Medicap Pharmacy

  • Community/Retail Pharmacy
  • Albany, OR
  • NPI 1972104354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1235567108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CLAY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226868",
            "telephone_number": "541-924-9598",
            "fax_number": "541-967-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226842",
            "telephone_number": "541-812-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIBUSAN",
        "first_name": "SALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0013841",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0013841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elise Mahon, D.O.
• Gregory Paul Maloney, DMD
• Sarah Mancini
• Jonathan Mang, PA-C
• Margot Suzzanne Mang
• Kjell Peter Mann, DPT
• Walter Manning, DMD
• Maple Dental
• Deborah Marchino, FNP
• Heather Leigh Marcott, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albany, OR
• Providers in Albany, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.