Active NPI
Oluwole Olugbenga Peters, PHARMD
- Pharmacist
- Paris, TX
National Provider Identifier
1093491755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41848
- Practice address
- 3710 Lamar Ave
Paris, TX 75462-5204 - Phone
- (903) 785-0736
- NPI assigned
- Jun 26, 2023
- Last updated
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41848 | TX | Primary |
Addresses
Primary practice location
3710 Lamar Ave
Paris, TX 75462-5204
Mailing address
859 Roaring Springs Rd
Grand Prairie, TX 75052-1244
Phone (682) 718-0506
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41848 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1093491755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 ROARING SPRINGS RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521244",
"telephone_number": "682-718-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 LAMAR AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754625204",
"telephone_number": "903-785-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "OLUWOLE",
"middle_name": "OLUGBENGA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "41848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.