Individual provider Active NPI

Titilola Ayoola Bailey, RPH

  • Pharmacist
  • Marietta, GA
National Provider Identifier
1124651112
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH017169 Issued in GA
Practice address
1275 Powers Ferry Rd SE Ste 170
Marietta, GA 30067-9487
Phone
(770) 272-9612
Fax
(770) 272-9613
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH017169 GA Primary

Addresses

Primary practice location

1275 Powers Ferry Rd SE Ste 170
Marietta, GA 30067-9487

Mailing address

1275 Powers Ferry Rd SE Ste 170
Marietta, GA 30067-9487
Phone (770) 272-9612

Other names 1

  • Titilola Ayoola Okupe Other name

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

LicenseStateTypeSpecialty
RPH017169GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Enterprises Inc PastSince Feb 23, 2020 Accepting new patients
Sunrise Enterprises Inc PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1124651112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POWERS FERRY RD SE STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679487",
            "telephone_number": "770-272-9612",
            "fax_number": "770-272-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POWERS FERRY RD SE STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679487",
            "telephone_number": "770-272-9612",
            "fax_number": "770-272-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TITILOLA",
        "middle_name": "AYOOLA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH017169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TITILOLA",
            "last_name": "OKUPE",
            "middle_name": "AYOOLA",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.