Clara Olaitan Ogunsan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

27957 Issued in NC

Practice address

6215 Stonewick Dr
Jamestown, NC 27282-8758

Phone

(904) 699-1352

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Olaitan Clara Ogunsan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1528546249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 STONEWICK DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828758",
            "telephone_number": "904-699-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 STONEWICK DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828758",
            "telephone_number": "904-699-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSAN",
        "first_name": "CLARA",
        "middle_name": "OLAITAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44012",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLAITAN",
            "last_name": "OGUNSAN",
            "middle_name": "CLARA",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• North Carolina CVS Pharmacy LLC
• Novant Health Medical Group, LLC
• Dirk Nuttle, LPCA, LCAS-A, CRC
• Lauren Elizabeth O'Connor, PA-C
• Valosha Ashleigh Odom, MBA
• Parakletos Services Incorporated
• Kenneth R. Pataky, MS, LCMHC, LMHC
• Donald P. Patterson, PH.D.
• Jesse Perry
• Rudolf Harald Wilhelm Petrini, LCMHC

• Pharmacist in Jamestown, NC
• Providers in Jamestown, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.