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

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 and National Provider Directory roles.

• Walgreen Co

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

  • 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.