Adetunji Raymond Isola, RPH.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

64360 Issued in TX

Practice address

725 Hebron Pkwy
Lewisville, TX 75057

Phone

(972) 459-5906

NPI assigned

Jan 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1144818287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 LAKE RIDGE ROAD",
            "address_2": "APT 9322",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "908-265-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HEBRON PKWY",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75057",
            "telephone_number": "972-459-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOLA",
        "first_name": "ADETUNJI",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "64360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cvs",
            "affiliation": "Y",
            "endpointDescription": "cvs",
            "affiliationName": "CVS Pharmacy Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "725 Hebron Pkwy",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750575001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Retail Pharmacy in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.