Kayode Ayodele Ola, RPH
Individual provider Active NPI Pharmacist · Stuarts Draft, VA
NPI 1497965958 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497965958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202207595 (VA)
- Practice address
- 2596 Tinkling Spring Rd
Stuarts Draft, VA 24477-2706 - Phone
- (540) 337-2596
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0202207595 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207595 | VA | Yes |
Addresses
Primary practice location
2596 Tinkling Spring Rd
Stuarts Draft, VA 24477-2706
Mailing address
141 Jackson St
Broadway, VA 22815-9737
Phone (540) 560-5475
Other providers in Stuarts Draft, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.