Individual provider Active NPI

Irene A Akinlolu

  • Pharmacist
  • Desoto, TX
National Provider Identifier
1104153477
Registry record updated Nov 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38491 Issued in TX
Practice address
731 W Belt Line Rd
Desoto, TX 75115-4955
Phone
(972) 230-3748
Fax
(972) 230-4787
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38491 TX Primary

Addresses

Primary practice location

731 W Belt Line Rd
Desoto, TX 75115-4955

Mailing address

731 W Belt Line Rd
Desoto, TX 75115-4955
Phone (972) 230-3748

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

State licenses

LicenseStateTypeSpecialty
38491TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257552000000",
    "number": "1104153477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 W BELT LINE RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154955",
            "telephone_number": "972-230-3748",
            "fax_number": "972-230-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 W BELT LINE RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154955",
            "telephone_number": "972-230-3748",
            "fax_number": "972-230-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINLOLU",
        "first_name": "IRENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2009-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; 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.