Individual provider Active NPI

Olatunde Okusanya, PHARMD

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1326477761
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51675 Issued in TX
Practice address
411 N Zaragoza Rd
El Paso, TX 79907-4745
Phone
(915) 872-9802
Fax
(915) 872-9728
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51675 TX Primary

Addresses

Primary practice location

411 N Zaragoza Rd
El Paso, TX 79907-4745

Mailing address

411 N Zaragoza Rd
El Paso, TX 79907-4745
Phone (915) 872-9802

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

LicenseStateTypeSpecialty
51675TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1326477761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074745",
            "telephone_number": "915-872-9802",
            "fax_number": "915-872-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074745",
            "telephone_number": "915-872-9802",
            "fax_number": "915-872-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUSANYA",
        "first_name": "OLATUNDE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.