Individual provider Active NPI

Adedayo A Olayanju, PHARM D.,RPH

  • Pharmacist
  • Providence, RI
National Provider Identifier
1013134634
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH04618 Issued in RI
Practice address
711 Broad St
Providence, RI 02907-1481
Phone
(401) 331-9550
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0010702 CT
Pharmacist 183500000X RPH04618 RI Primary

Addresses

Primary practice location

711 Broad St
Providence, RI 02907-1481

Mailing address

80 Sycamore St
Providence, RI 02909-1930
Phone (401) 359-0241

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
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0010702CTMDPharmacist
RPH04618RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1013134634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SYCAMORE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091930",
            "telephone_number": "401-359-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071481",
            "telephone_number": "401-331-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYANJU",
        "first_name": "ADEDAYO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARM D.,RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0010702",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH04618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.