KRISTA FOBERT (NPI# 1851775100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851775100 |
| Entity Type | Individual |
| Full Name | KRISTA FOBERT |
| Credential | PHARMD |
| Practice Address |
3025 Lancaster Dr Ne Salem OR 97305-1348 |
| Mailing Address |
18791 Fobert Rd Ne Hubbard OR 97032-9774 |
| Practice Telephone | 5033781336 |
| Mailing Telephone | 5033787720 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0014138 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH0014138 | OR | Pharmacy Service Providers |
| Street Address |
3025 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407873540 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2006-07-16 |
| 1689284630 | Kent Reger Niedens | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1391 | 2020-08-05 |
| 1548884158 | Laura Ozuna | Optometrist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2020-05-31 |
| 1023501483 | Diana Yin | Optometrist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2018-06-11 |
| 1306241237 | Ashley Culley | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2014-11-04 |
| 1518376599 | Kathleen Fitzpatrick | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2014-08-04 |
| 1689971210 | Spencer D Woolley | Pharmacist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2011-02-16 |
| 1770812794 | Brian Chow | Optometrist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2009-12-22 |
| 1609961804 | Wal-mart Stores, Inc | Technician/Technologist | 3025 Lancaster Dr Ne, Salem, OR 97305-1348 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174899850 | Kristey Shimek | Pharmacist | 3450 Commercial Street Se, Salem, OR 97302-4635 | 2012-03-28 |
| 1023276201 | Erich Agustus Schmidt | Pharmacist | 2260 Joplin Ct S, Salem, OR 97302-2217 | 2008-05-24 |
| 1699286625 | Valeria Ortega | Pharmacist | 3740 Market St Ne, Salem, OR 97301-1826 | 2017-10-17 |
| 1457803587 | Lilian May | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-24 |
| 1700336138 | Darryl Johnson | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-10-10 |
| 1548716921 | Barbara Ann Schnabel | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2016-08-26 |
| 1598117269 | Nathan Howell | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-07-06 |
| 1972973253 | Tyron James Sinn | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2015-09-30 |
| 1902286313 | Tanvi Patil | Pharmacist | 1970 Roanoke Blvd, Salem, Va 24153-6404, Salem, VA 24153-6404 | 2015-06-02 |
| 1003204280 | James Paarlberg | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2014-12-22 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.