Active NPI
Oluwapelumi Omole
- Pharmacist
- Lake Worth, FL
National Provider Identifier
1548044092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66173
- Practice address
- 9940 Lake Worth Rd
Lake Worth, FL 33467-2304 - Phone
- (561) 357-8996
- NPI assigned
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66173 | FL | Primary |
Addresses
Primary practice location
9940 Lake Worth Rd
Lake Worth, FL 33467-2304
Mailing address
1668 Baltrusol PL
Wellington, FL 33414-5904
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS66173 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Lake Worth, FL
- NPI 1730283714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1548044092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1668 BALTRUSOL PL",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 LAKE WORTH RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672304",
"telephone_number": "561-357-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOLE",
"first_name": "OLUWAPELUMI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.