Individual provider Active NPI

Makanjuola Olabiyi

  • Pharmacist
  • Skokie, IL
National Provider Identifier
1124419213
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55807 Issued in TX
Practice address
8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695
Phone
(847) 588-7170
Fax
(847) 588-7060
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55807 TX Primary

Addresses

Primary practice location

8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695

Mailing address

3214 Sapphire Star Dr
Houston, TX 77082-1263
Phone (646) 492-2405

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
55807TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RPH on the Go USA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1124419213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 SAPPHIRE STAR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821263",
            "telephone_number": "646-492-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LINCOLN AVE",
            "address_2": "SUITE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773695",
            "telephone_number": "847-588-7170",
            "fax_number": "847-588-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLABIYI",
        "first_name": "MAKANJUOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.