Active NPI
Olasunbo Sorunke, RPH
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1548844814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83279
- Practice address
- 3724 Crenshaw Blvd
Los Angeles, CA 90016-5804 - Phone
- (323) 292-7261
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 83279 | CA | Primary |
Addresses
Primary practice location
3724 Crenshaw Blvd
Los Angeles, CA 90016-5804
Mailing address
1735 West Blvd
Los Angeles, CA 90019-5813
Phone (618) 434-9337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | walgreens | Direct | WALGREENS |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83279 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1548844814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 WEST BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900195813",
"telephone_number": "618-434-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900165804",
"telephone_number": "323-292-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORUNKE",
"first_name": "OLASUNBO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "walgreens",
"affiliation": "Y",
"affiliationName": "WALGREENS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3724 Crenshaw Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900165804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.