Active NPI
Ayo O Odunsi, PHARMACIST
- Pharmacist
- Reno, NV
National Provider Identifier
1568657377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16250
- Practice address
- 6450 S Virginia St
Reno, NV 89511-1103 - Phone
- (775) 852-1816
- NPI assigned
- Sep 14, 2007
- Sex
- Male
- 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 | 16250 | NV | Primary |
Addresses
Primary practice location
6450 S Virginia St
Reno, NV 89511-1103
Mailing address
1001 S Meadows Pkwy Apt 513
Reno, NV 89521-3977
Phone (702) 439-9930
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 |
|---|---|---|---|
| 16250 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1568657377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S MEADOWS PKWY APT 513",
"city": "RENO",
"state": "NV",
"postal_code": "895213977",
"telephone_number": "702-439-9930",
"fax_number": "775-852-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 S VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895111103",
"telephone_number": "775-852-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUNSI",
"first_name": "AYO",
"middle_name": "O",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.