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Itohan Wariboko , RPH

Pharmacist β€’ Owatonna, MN

Active NPI 1922484286 Individual Practitioner Female Practitioner
Practice location in NPPES

301 Park Dr
Owatonna, MN 550605639

Call 5074511771 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

301 Park Dr

Owatonna, MN 550605639

Telephone 5074511771
Organization at the Same NPPES Address or Phone
Grand St Paul Cvs Llc Facility NPI 1932121613

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Owatonna and Minnesota

34 active clinicians are listed under Pharmacist with a practice address in Owatonna, MN (4,917 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Owatonna

0% of these 34 clinicians have the CMS telehealth indicator.

0% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MN 123213

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 22, 2020

Registered at 301 PARK DR, OWATONNA, MN 550605639 (Tel: 5074511771)

πŸ“
Updated Business Mailing Address April 22, 2020

Registered at 301 PARK DR, OWATONNA, MN 550605639 (Tel: 5074511771)

πŸ‘€
Provider Name / Credentials Updated April 22, 2020

Recorded as ITOHAN WARIBOKO, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2020

Pharmacist (license number reported to NPPES: MN 123213)

βœ…
NPI Profile Active August 09, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 09, 2015

Registered at 2315 W MERCURY BLVD, HAMPTON, VA 236663114 (Tel: 7572621227)

πŸ“
Business Mailing Address (Initial Record) August 09, 2015

Registered at 2315 W MERCURY BLVD, HAMPTON, VA 236663114

πŸ‘€
Provider Name / Credentials (Initial Record) August 09, 2015

Recorded as ITOHAN WARIBOKO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2015

Pharmacist (license number reported to NPPES: VA 0202213760)

🟒
Initial NPI Registration & Enumeration August 09, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922484286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2015
Last Update: April 22, 2020
Sole Proprietor: No

Mailing Address

301 Park Dr

Owatonna, MN 550605639

Phone: 5074511771

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.