Toyin T Esan
Individual provider Active NPI Pharmacist · Dover, PA
NPI 1891049474 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1891049474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP441548 (PA)
- Practice address
- 3180 Carlisle Rd
Dover, PA 17315-4512 - Phone
- (717) 428-2056
- NPI assigned
- Nov 2, 2012
- 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 |
|---|---|---|---|
| RP441548 | PA | MD | Pharmacist |
| 17978 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP441548 | PA | Yes |
| Pharmacist | 183500000X | 17978 | MD |
Addresses
Primary practice location
3180 Carlisle Rd
Dover, PA 17315-4512
Mailing address
213 Creekwood Dr
Jacobus, PA 17407-1122
Other providers in Dover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2012. 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.