Olumami O Amaye, PHARMD
Individual provider Active NPI Pharmacist · Mankato, MN
NPI 1225633159 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1225633159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 123645 (MN)
- Practice address
- 1850 Adams St
Mankato, MN 56001-4864 - Phone
- (507) 625-9009
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123645 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123645 | MN | Yes |
Addresses
Primary practice location
1850 Adams St
Mankato, MN 56001-4864
Mailing address
1850 Adams St
Mankato, MN 56001-4864
Phone (507) 625-9009
Other names
- Dr. Olumami O Amaye
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.