Olanrewaju Bamidele Obisesan, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

049489 Issued in NY

Practice address

5001 North Piedras
116
El Paso, TX 79930

Phone

(915) 564-7943

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1215058763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 NORTH PIEDRAS",
            "address_2": "119",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79930",
            "telephone_number": "915-564-7943",
            "fax_number": "716-875-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 NORTH PIEDRAS",
            "address_2": "116",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79930",
            "telephone_number": "915-564-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBISESAN",
        "first_name": "OLANREWAJU",
        "middle_name": "BAMIDELE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049489",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "049489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omobolanle Ayodele Obajeun
• Rita Rubi Obdalla
• Simi Charity Obe
• Emmanuel Chuks Obi Sr., RPH
• Ugochukwu Olisa Obika, PHARM.D
• Lindsay Hernandez Obrien, LCSW
• Kimberly Lynn Ocana, COTA/L
• Martha Laura Ocaranza, FNP-C
• Occmed Centers of El Paso, PA
• Occupational Health Centers of the Southwest P.a.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in El Paso, TX
• Providers in El Paso, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.