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NPISignal

Individual Healthcare Provider

Jovin V Panthapattu, PHARM.D. BCACP

NPI Record: ActivePharmacist — Ambulatory Care
NPI1073903563
Canby, Oregon

Provider's NPPES record last updated: April 16, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1073903563
Primary Specialty
Pharmacist — Ambulatory Care
Practice Location
Canby, Oregon
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 3:50 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pharmacist

    Ambulatory Care

    Pharmacy Service Providers

    Primary

    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.

    Taxonomy code 1835P2201X
  • Pharmacist

    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

    Pharmacy Service Providers

    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.

    Taxonomy code 1835P0018X

Provider-Reported License Information

Pharmacist (Oregon)
RPH-0016544
Pharmacist (Oregon)
RPH-0016544-P
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

178 Sw 2nd Ave

Canby, Oregon 97013-4152

Phone: (503) 416-4547

Additional Practice Location

728 Molalla Ave

Oregon City, Oregon 97045-2799

Phone: (503) 656-9030

Fax: (503) 656-9026

Record Information

Enumeration Date
February 4, 2015
Provider's NPPES Record Last Updated
April 16, 2020
Certification Date
April 16, 2020
NPISignal NPPES Dataset
August 2026

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