Active NPI
Olayinka Olumorin, PHARMD
- Pharmacist
- Manchester, CT
National Provider Identifier
1245637719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0012913
- Practice address
- 295 Main St
Manchester, CT 06040-4128 - Phone
- (860) 649-8747
- NPI assigned
- Nov 29, 2014
- Sex
- Female
- 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 | PCT.0012913 | CT | Primary |
Addresses
Primary practice location
295 Main St
Manchester, CT 06040-4128
Mailing address
79 Brooklyn St
Apt 1N
Vernon, CT 06066-3649
Phone (860) 834-3867
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 |
|---|---|---|---|
| PCT.0012913 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417219200000",
"number": "1245637719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 BROOKLYN ST",
"address_2": "APT 1N",
"city": "VERNON",
"state": "CT",
"postal_code": "060663649",
"telephone_number": "860-834-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404128",
"telephone_number": "860-649-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUMORIN",
"first_name": "OLAYINKA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-29",
"last_updated": "2014-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0012913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.