Individual provider Active NPI

Olufunmilayo Oladele

  • Pharmacist
  • Vineland, NJ
National Provider Identifier
1386362929
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03269700 Issued in NJ
Practice address
1015 N Main Rd
Vineland, NJ 08360-2538
Phone
(856) 691-1465
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03269700 NJ Primary

Addresses

Primary practice location

1015 N Main Rd
Vineland, NJ 08360-2538

Mailing address

4 Parliament Rd
Sicklerville, NJ 08081-5670
Phone (856) 725-7583

Other identifiers 1

IdentifierTypeStateIssuer
1245313303OtherNJCVS PHARMACY

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

LicenseStateTypeSpecialty
28RI03269700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 28, 2022 Accepting new patients
Walgreen Co PastSince Aug 28, 2022 Accepting new patients

Locations

1015 N Main Rd
Vineland, NJ 08360
Phone (856) 691-1465

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1386362929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARLIAMENT RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815670",
            "telephone_number": "856-725-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602538",
            "telephone_number": "856-691-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADELE",
        "first_name": "OLUFUNMILAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03269700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CVS PHARMACY",
            "identifier": "1245313303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.