Active NPI
Ikeola Abiola Omolayo
- Pharmacist
- Falls Church, VA
National Provider Identifier
1265056535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26111
- Practice address
- 5115 Leesburg Pike
Falls Church, VA 22041-3207 - Phone
- (703) 253-0022
- NPI assigned
- Jun 2, 2020
- 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 | 26111 | MD | Primary |
Addresses
Primary practice location
5115 Leesburg Pike
Falls Church, VA 22041-3207
Mailing address
5590 Malone Ridge St Unit 3205
Alexandria, VA 22312-4036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26111 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1265056535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5590 MALONE RIDGE ST UNIT 3205",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223124036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 LEESBURG PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220413207",
"telephone_number": "703-253-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOLAYO",
"first_name": "IKEOLA",
"middle_name": "ABIOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.