Individual provider Active NPI

Leo Lobaton Tabayoyong, RPH

  • Pharmacist
  • Salem, NH
National Provider Identifier
1750096111
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHCY-01331 Issued in NH
Practice address
30 Tuscan Blvd Ste 323
Salem, NH 03079-3984
Phone
(603) 414-6218
NPI assigned
Jan 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHCY-01331 NH Primary

Addresses

Primary practice location

30 Tuscan Blvd Ste 323
Salem, NH 03079-3984

Mailing address

30 Tuscan Blvd Ste 323
Salem, NH 03079-3984
Phone (603) 414-6218

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltabayoyong@partners.org Direct

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PHCY-01331NHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1750096111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TUSCAN BLVD STE 323",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793984",
            "telephone_number": "603-414-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TUSCAN BLVD STE 323",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793984",
            "telephone_number": "603-414-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAYOYONG",
        "first_name": "LEO",
        "middle_name": "LOBATON",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-01331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltabayoyong@partners.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 Tuscan Blvd Ste 323",
            "city": "Salem",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030793984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.