Individual provider Active NPI

Oluremi Mojisola Olukoya, DR

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Humble, TX
National Provider Identifier
1154920924
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
44477 Issued in TX
Practice address
19200 W Lake Houston Pkwy
Humble, TX 77346-2180
Phone
(281) 812-4499
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44477 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 44477 TX Primary

Addresses

Primary practice location

19200 W Lake Houston Pkwy
Humble, TX 77346-2180

Mailing address

10814 Silver Shield Way
Tomball, TX 77375-0055
Phone (832) 754-1709

Other practice location 1

1600 N 16th St
Orange, TX 77630-3616
Phone (409) 886-1360

Other practice location 2

218A Hill Terrace Dr
Nederland, TX 77627-7619
Phone (832) 754-1709

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
44477TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
G & V Health Services LLC CurrentSince Jul 28, 2024 Accepting new patients
Kroger Texas LP PastSince Oct 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1154920924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 SILVER SHIELD WAY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773750055",
            "telephone_number": "832-754-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 W LAKE HOUSTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462180",
            "telephone_number": "281-812-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776303616",
            "country_code": "US",
            "telephone_number": "409-886-1360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218A Hill Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776277619",
            "country_code": "US",
            "telephone_number": "832-754-1709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUKOYA",
        "first_name": "OLUREMI",
        "middle_name": "MOJISOLA",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44477",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "44477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.