Organization Active NPI

Ajijo Inc

Doing business as Luxe Med Compounding

  • Community/Retail Pharmacy
  • Lewisville, TX
National Provider Identifier
1457662876
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26992 Issued in TX
Legal business name
AJIJO INC
Doing business as
Luxe Med Compounding
Lewisville Medical pharmacy
Practice address
560 W Main St
Ste 105
Lewisville, TX 75057-3629
Phone
(972) 906-0800
Fax
(972) 906-0814
NPI assigned
Jun 30, 2010
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Folarin Ajijo, PHARMDNPI 1649860677
Title
Director of Pharmacy Services
Phone
(972) 906-0814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26992 TX Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

560 W Main St
Ste 105
Lewisville, TX 75057-3629

Mailing address

560 W Main St Ste 105
Lewisville, TX 75057-3665
Phone (972) 906-0900

Other names 2

  • LUXE MED COMPOUNDING Doing business as
  • Lewisville Medical pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SURESCRIPT Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

560 W Main St
Ste 105
Lewisville, TX 75057
Phone (972) 906-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1457662876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST STE 105",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573665",
            "telephone_number": "972-906-0900",
            "fax_number": "972-906-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST",
            "address_2": "STE 105",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573629",
            "telephone_number": "972-906-0800",
            "fax_number": "972-906-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJIJO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "AJIJO",
        "authorized_official_first_name": "FOLARIN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "972-906-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26992",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SURESCRIPT",
            "affiliation": "N",
            "endpointDescription": "USED FOR PRESCRIPTION RELATED COMMUNICAATIONS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "General patient information including prescriptions",
            "address_1": "560 W Main St",
            "address_2": "Ste 105",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750573629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LUXE MED COMPOUNDING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewisville Medical pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.