Active NPI
Olajide Brandon Bakare, PHARMD
- Pharmacist
- Denham Springs, LA
National Provider Identifier
1174994370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021337
- Practice address
- 730 S Range Ave
Denham Springs, LA 70726-4401 - Phone
- (225) 664-9452
- NPI assigned
- Oct 13, 2015
- Last updated
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.021337 | LA | Primary |
Addresses
Primary practice location
730 S Range Ave
Denham Springs, LA 70726-4401
Mailing address
1680 Oneal LN Apt 123
Baton Rouge, LA 70816-1624
Phone (225) 939-0925
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.021337 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1174994370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 ONEAL LN APT 123",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708161624",
"telephone_number": "225-939-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 S RANGE AVE",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264401",
"telephone_number": "225-664-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKARE",
"first_name": "OLAJIDE",
"middle_name": "BRANDON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.