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DR. ABISOLA TAIRU PHARM.D.
NPI 1093366619
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shiprock, NM

Active since September 25, 2019

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2021, Sep 25, 2019 (2 updates tracked since 2019).

About Dr. Abisola Tairu Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ABISOLA TAIRU PHARM.D. (NPI 1093366619) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Shiprock, New Mexico, licensed in Texas (65714) and active in the NPI registry since September 2019. She maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1093366619
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. ABISOLA TAIRUCredential: PHARM.D.
Location AddressUS-491Shiprock, NM 87420
Mailing Address2008 Lanshire DrMckinney, TX 75072-2887 · (469) 358-8796
Phone(505) 356-7250
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1093366619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in TX · 65714
Definition
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.
Also ListedPharmacistTaxonomy 183500000X · License 65714 (TX)
US-491, Shiprock, NM 87420
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Secondary Practice Location 1

Location 13601 4th StLubbock, TX 79430-0002 · Phone (806) 743-3270

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY MARTOCCI OD
Optometrist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
ANDREW MICHAEL FOSTER PHARM.D.
Pharmacist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
ANJALI NICOLE PARAMANANDAM OD
Optometrist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AMBER LEE LOGAN DPT
Physical Therapist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. JETT NYMANN DELACRUZ PARAOAN PHARMD, MBA
Pharmacist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-7250
DR. ELLEN ROBERTA EMBICK MD
Family Medicine
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
TREVOR DOUGLASS GARDNER PHARMD
Pharmacist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
SARAH HALIMI OD
Optometrist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abisola Tairu's NPI number?

The NPI number for Abisola Tairu is 1093366619. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Abisola Tairu located?

Abisola Tairu practices at Us-491, Shiprock, NM 87420. The listed phone number is (505) 356-7250.

What is Abisola Tairu's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Abisola Tairu was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.