Olutoyin Ezekiel Makinde, RPH
Individual provider Active NPI Pharmacist · Forest Hill, TX
NPI 1336801059 · NPPES record last updated Oct 11, 2021
Key facts
- NPI
- 1336801059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 68487 (TX)
- Practice address
- 3145 Mansfield Hwy
Forest Hill, TX 76119-5938 - Phone
- (817) 535-1182
- Fax
- (817) 534-4089
- NPI assigned
- Oct 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68487 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68487 | TX | Yes |
Addresses
Primary practice location
3145 Mansfield Hwy
Forest Hill, TX 76119-5938
Mailing address
623 Teresa LN
Grand Prairie, TX 75052-2816
Phone (682) 251-5689
Other providers in Forest Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2021. 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.