Individual provider Active NPI

Temiloluwa Samuel Awoleye

  • Student in an Organized Health Care Education/Training Program
  • Bedford, TX
National Provider Identifier
1003638693
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2901 Brown TRL
Bedford, TX 76021-4107
Phone
(469) 905-0777
NPI assigned
Oct 25, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2901 Brown TRL
Bedford, TX 76021-4107

Mailing address

411 Matlock Meadow Dr
Arlington, TX 76002-3353
Phone (469) 279-7781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deliverit Pharmacy Bedford Inc CurrentSince Oct 27, 2024 Accepting new patients
Deliverit Pharmacy Bedford Inc CurrentSince Oct 27, 2024 Accepting new patients

Locations

2901 Brown Trl
Bedford, TX 76021
Phone (469) 905-0777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1003638693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MATLOCK MEADOW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023353",
            "telephone_number": "469-279-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BROWN TRL",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214107",
            "telephone_number": "469-905-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOLEYE",
        "first_name": "TEMILOLUWA",
        "middle_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.