Active NPI
Oluwabukunmi Elijah Oyewole, RPH
- Pharmacist
- Atlanta, GA
National Provider Identifier
1104424944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032354
- Practice address
- 2175 Parklake Dr NE
Atlanta, GA 30345-2845 - Phone
- (770) 469-7400
- NPI assigned
- Oct 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH032354 | GA | Primary |
Addresses
Primary practice location
2175 Parklake Dr NE
Atlanta, GA 30345-2845
Mailing address
909 Harvest Brook Dr
Lawrenceville, GA 30043-7543
Other names 1
- Bukunmi Elijah Oyewole
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032354 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1104424944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 HARVEST BROOK DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 PARKLAKE DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452845",
"telephone_number": "770-469-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEWOLE",
"first_name": "OLUWABUKUNMI",
"middle_name": "ELIJAH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BUKUNMI",
"last_name": "OYEWOLE",
"middle_name": "ELIJAH",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.