Oluwole Olutunbi Olugbile, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT0015269 Issued in CT

Practice address

825 E Main St
Meriden, CT 06450-6064

Phone

(203) 238-0910

NPI assigned

Nov 10, 2020

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Meriden, CT
  • NPI 1730364134
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1164024576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCKLAND ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091235",
            "telephone_number": "203-600-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506064",
            "telephone_number": "203-238-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGBILE",
        "first_name": "OLUWOLE",
        "middle_name": "OLUTUNBI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0015269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "825 E Main St",
            "city": "Meriden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064506064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Michael Obrien, LPC, LADC
• Matthew M Offman, DDS
• Carrie B Olewnik, PT
• Yanelly Olivera, LCSW
• Christopher Olmstead
• Oral & Maxillofacial Surgeons of Central CT PC
• William Joesph Orlowsky, CRNA
• Sarah Normandin Orser, PA - C
• Talisa Ortega
• Alysia Ortiz

• Pharmacist in Meriden, CT
• Providers in Meriden, CT by specialty
• Pharmacist in Connecticut

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