Olusola Omotunde Jolaogun

Primary specialty

PharmacistTaxonomy code 183500000X

License

S016986 Issued in AZ

Practice address

1385 E Florence Blvd
Casa Grande, AZ 85122-5318

Phone

(520) 836-0901

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1548595853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225318",
            "telephone_number": "520-836-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225318",
            "telephone_number": "520-836-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLAOGUN",
        "first_name": "OLUSOLA",
        "middle_name": "OMOTUNDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016986",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Jicha, PA
• Augustina O Joel
• Jacquelin Joann Johll, RDH
• Eric Johnson, PT, DPT
• Georgette Annette Johnson, SOCIAL WORKER
• Martha Dawn Jones-Baer, RN
• Christine Daniele Jones, COTA
• David Jones, DMD
• Ellen Rebecca Jones
• Eustacia Alana Jorvig, FNP-C

• Pharmacist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.