Okunlola Margaret Odutayo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

57475 Issued in TX

Practice address

824 N Veterans Blvd
San Juan, TX 78589-3215

Phone

(956) 783-4977

Fax

(956) 781-1729

NPI assigned

Aug 28, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• Walgreen Co

  dba Walgreens #10550

  • Pharmacy
  • San Juan, TX
  • NPI 1386850568
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043823917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N VETERANS BLVD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893215",
            "telephone_number": "956-783-4977",
            "fax_number": "956-781-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N VETERANS BLVD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893215",
            "telephone_number": "956-783-4977",
            "fax_number": "956-781-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUTAYO",
        "first_name": "OKUNLOLA",
        "middle_name": "MARGARET",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RXM.10550@store.walgreens.com",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "address_1": "824 N Veterans Blvd",
            "city": "San Juan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785893215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RXM.10550@store.walgreens.com",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "address_1": "824 N Veterans Blvd",
            "city": "San Juan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785893215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nuestra Clinica del Valle, Inc.
• Nuestra Clinica del Valle, Inc.
• Nuestra Clinica del Valle, Inc.
• Nueva Vida Primary Home Care LLC
• Jodelny M. Nunez, COTA
• Harriett Lee Oneal, SLP
• Javier Ortiz, LCDC
• Nestor Ortiz
• PA Mi Gente DME LLC
• Esteban Palacios Jr., PA-C

• Pharmacist in San Juan, TX
• Providers in San Juan, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.