Akinnuga Olusanya, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

71504 Issued in TX

Practice address

13559 Pokey TRL
San Antonio, TX 78254-2653

Phone

(813) 690-4556

NPI assigned

Oct 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Dignity Healthcare Services, LLC

  • Home Health Agency
  • New Windsor, MD
  • NPI 1548980378
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1093536377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13559 POKEY TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13559 POKEY TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542653",
            "telephone_number": "813-690-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUSANYA",
        "first_name": "AKINNUGA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "71504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Olt, PH.D.
• Mackenzie Oltmann
• Oluseyi B Olubadewo, PHD
• Pius O Olukoya
• Adedeji Olusanya, DO/MPH
• Akinoluwa Joseph Oluwatomi, MD
• Catherine Oluwatomi
• Shawanda Oluwo, RN
• Jaqueline Olveda Rubio, SLP-ASSISTANT
• Samantha Tyler Olveda

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.