Individual provider Active NPI

Sally T Oyenuga

  • Pharmacist
  • Fremont, CA
National Provider Identifier
1154639102
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
46875 Issued in CA
Practice address
3760 Mowry Ave
Fremont, CA 94538-1428
Phone
(510) 894-0552
Fax
(510) 894-0713
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 46875 CA Primary

Addresses

Primary practice location

3760 Mowry Ave
Fremont, CA 94538-1428

Mailing address

32895 Bluebird Court
Fremont, CA 94555
Phone (510) 552-7913

Other practice location 1

2150 Roosevelt Ave
Redwood City, CA 94061-1304
Phone (650) 369-2071

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
46875CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daysman Pharmacy LLC CurrentSince Mar 13, 2022 Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Locations

3760 Mowry Ave
Fremont, CA 94538
Phone (510) 894-0552

Organizations & group practices 3

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1154639102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32895 BLUEBIRD COURT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94555",
            "telephone_number": "510-552-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381428",
            "telephone_number": "510-894-0552",
            "fax_number": "510-894-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940611304",
            "country_code": "US",
            "telephone_number": "650-369-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYENUGA",
        "first_name": "SALLY",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.