Individual provider Active NPI

Oluwaseyi Faseemo

  • Ambulatory Care Pharmacist
  • Rochester, MN
National Provider Identifier
1386993871
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
119355 Issued in MN
Practice address
314 Elton Hills Dr NW
Rochester, MN 55901-2476
Phone
(313) 721-5859
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 119355 MN Primary

Addresses

Primary practice location

314 Elton Hills Dr NW
Rochester, MN 55901-2476

Mailing address

314 Elton Hills Dr NW
Rochester, MN 55901-2476
Phone (313) 721-5859

Other identifiers 1

IdentifierTypeStateIssuer
265686OtherMNPHARMACY LICENSE

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

LicenseStateTypeSpecialty
119355MNMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Community Pharmacy LLC Current Accepting new patients
Rochester City Pharmacy LLC Current Accepting new patients
Rochester Community Pharmacy LLC Current Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

314 Elton Hills Dr NW
Rochester, MN 55901
Phone (313) 721-5859

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1386993871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ELTON HILLS DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012476",
            "telephone_number": "313-721-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ELTON HILLS DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012476",
            "telephone_number": "313-721-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASEEMO",
        "first_name": "OLUWASEYI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "119355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "265686",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.