Individual provider Active NPI

Jennie J Olopaade, PHARMD

  • Pharmacist
  • Arlington, TX
National Provider Identifier
1114546405
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15474 Issued in AL
Practice address
3012 Franciscan Dr Apt 625
Arlington, TX 76015-2543
Phone
(251) 599-9800
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64652 TX
Pharmacist 183500000X 15474 AL Primary

Addresses

Primary practice location

3012 Franciscan Dr Apt 625
Arlington, TX 76015-2543

Mailing address

3012 Franciscan Dr Apt 625
Arlington, TX 76015-2543
Phone (251) 599-9800

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

LicenseStateTypeSpecialty
15474ALMDPharmacist
64652TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1114546405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 FRANCISCAN DR APT 625",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152543",
            "telephone_number": "251-599-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 FRANCISCAN DR APT 625",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152543",
            "telephone_number": "251-599-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOPAADE",
        "first_name": "JENNIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "64652",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.