Oyesumbo Oluwafunke Idowu
Individual provider Active NPI Pharmacist · Stevenson Ranch, CA
NPI 1275937906 · NPPES record last updated Oct 9, 2014
Key facts
- NPI
- 1275937906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 47480 (CA)
- Practice address
- 25450 The Old Rd
Stevenson Ranch, CA 91381-1704 - Phone
- (661) 253-2357
- Fax
- (661) 253-4247
- NPI assigned
- Oct 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47480 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47480 | CA | Yes |
Addresses
Primary practice location
25450 The Old Rd
Stevenson Ranch, CA 91381-1704
Mailing address
26916 Terri Dr
Canyon Country, CA 91351-4821
Phone (661) 373-8239
Other providers in Stevenson Ranch, CA
- Mary Rose Gonzalez
- Elia Thabet Gris
- Mi Kyoung Hargrove
- Kristina Herrell
- Hungry Girl Ministries Inc
- Thuy Duong Ly Jacobson
- Christine Jahng
- Davinder Jeet
- John H. Ortiz-Luis, DMD, Inc.
- Victoria A Jukka
All providers in Stevenson Ranch, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.