Olalekan Olatunde Shodipo, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

52566 Issued in TX

Practice address

9663 FM 1097 Rd W
Willis, TX 77318-5299

Phone

(936) 228-0204

NPI assigned

Sep 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• CVS Pharmacy Inc

  • Pharmacy
  • Willis, TX
  • NPI 1962944330
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1558084046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32702 TURNING SPRINGS DR",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774232797",
            "telephone_number": "936-676-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 FM 1097 RD W",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185299",
            "telephone_number": "936-228-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHODIPO",
        "first_name": "OLALEKAN",
        "middle_name": "OLATUNDE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Selby, LPC
• Select Physical Therapy Texas Limited Partnership
• Select Physical Therapy Texas Limited Partnership
• Aysha Shabbir
• Wen Jun Wendy Shi, LAC
• Skyline Senior Services, LLC
• SLP Willis LLC
• Charles Marcus Smith, LPC
• Kathleen Marie Smith, RN
• Southern Medical Supplies

• Pharmacist in Willis, TX
• Providers in Willis, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.