Active NPI
Olawale Okeowo Olagbende, PHARMD
- Pharmacist
- Atlanta, GA
National Provider Identifier
1346587045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026768
- Practice address
- 3030 Headland Dr SW
Atlanta, GA 30311-5439 - Phone
- (404) 346-1423
- NPI assigned
- Jan 15, 2013
- Sex
- Male
- 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 | RPH026768 | GA | Primary |
Addresses
Primary practice location
3030 Headland Dr SW
Atlanta, GA 30311-5439
Mailing address
590 Thornton Rd
Lithia Springs, GA 30122-1574
Phone (678) 945-1640
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 |
|---|---|---|---|
| RPH026768 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime RX Consultant Services Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Riverdale, GA
- NPI 1437818291
-
- Pharmacy
- Lithia Springs, GA
- NPI 1750396966
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1346587045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 THORNTON RD",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221574",
"telephone_number": "678-945-1640",
"fax_number": "678-945-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HEADLAND DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115439",
"telephone_number": "404-346-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAGBENDE",
"first_name": "OLAWALE",
"middle_name": "OKEOWO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-15",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.