Active NPI
Omo Oisamoje
- Pharmacist
- Fairbanks, AK
National Provider Identifier
1376957944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2281
- Practice address
- 1717 W Cowles St
Fairbanks, AK 99701-5926 - Phone
- (907) 452-8251
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | 2281 | AK | Primary |
Addresses
Primary practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Mailing address
PO Box 94429
Seattle, WA 98124-6729
Phone (907) 452-8251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1376957944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94429",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246729",
"telephone_number": "907-452-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W COWLES ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997015926",
"telephone_number": "907-452-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OISAMOJE",
"first_name": "OMO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.