MR. OLUSEGUN ADESESAN BAMGBELU PHARM D NPI 1255976056

NPI Information

NPI: 1255976056
Provider Name: MR. OLUSEGUN ADESESAN BAMGBELU, PHARM D
Classification: Pharmacist - 1835P2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
MEMORIAL CORNERSTONE PHARMACY
4003 CREEKSIDE LOOP
YAKIMA, WA
ZIP 98908
Phone: (509) 248-3263
Get Directions

MR. Olusegun Adesesan Bamgbelu, PHARM D is an ambulatory care pharmacist in Yakima, WA. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. MR. Olusegun Adesesan Bamgbelu, PHARM D NPI is 1255976056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEMORIAL CORNERSTONE PHARMACY
4003 CREEKSIDE LOOP
YAKIMA, WA
ZIP 98908
Phone: (509) 248-3263
Fax: (509) 575-8700

The enumeration date for this NPI number is 11/15/2019 and was last updated on 11/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P2201X	Pharmacist	Ambulatory Care	PH60776370	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PH60776370	OTHER	WASHINGTON	PHARMACIST LICENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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