Individual provider Active NPI

Opeyemi Komolafe, PHARM .D.

  • Pharmacist
  • Tallahassee, FL
National Provider Identifier
1376912360
Registry record updated Sep 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS54083 Issued in FL
Practice address
1505 Applewood Way
Tallahassee, FL 32312-6780
Phone
(850) 867-8785
NPI assigned
Sep 19, 2015
Last updated
Sep 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS54083 FL Primary

Addresses

Primary practice location

1505 Applewood Way
Tallahassee, FL 32312-6780

Mailing address

1505 Applewood Way
Tallahassee, FL 32312-6780
Phone (850) 867-8785

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
PS54083FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442620800000",
    "number": "1376912360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 APPLEWOOD WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126780",
            "telephone_number": "850-867-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 APPLEWOOD WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126780",
            "telephone_number": "850-867-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMOLAFE",
        "first_name": "OPEYEMI",
        "credential": "PHARM .D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; 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.