Individual provider Active NPI

Akingbade Olusegun Okesanya

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Grand Prairie, TX
National Provider Identifier
1245826767
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
25918 Issued in TX
Practice address
832 S Carrier Pkwy # 130
Grand Prairie, TX 75051-0942
Phone
(214) 330-2424
Fax
(214) 330-2492
NPI assigned
Dec 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 25918 TX Primary

Addresses

Primary practice location

832 S Carrier Pkwy # 130
Grand Prairie, TX 75051-0942

Mailing address

832 S Carrier Pkwy # 130
Grand Prairie, TX 75051-0942
Phone (214) 330-2424

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

State licenses

LicenseStateTypeSpecialty
25918TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1245826767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S CARRIER PKWY # 130",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750510942",
            "telephone_number": "214-330-2424",
            "fax_number": "214-330-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S CARRIER PKWY # 130",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750510942",
            "telephone_number": "214-330-2424",
            "fax_number": "214-330-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKESANYA",
        "first_name": "AKINGBADE",
        "middle_name": "OLUSEGUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "25918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.