Active NPI
Olutola Akinola Sobande, PHARMD
- Pharmacist
- Pembroke Pines, FL
National Provider Identifier
1588937312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 32389
- Practice address
- 17671 SW 4TH CT
Pembroke Pines, FL 33029-4016 - Phone
- (954) 817-3788
- NPI assigned
- Feb 9, 2012
- Last updated
- Feb 9, 2012
- 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 | PS 32389 | FL | Primary |
Addresses
Primary practice location
17671 SW 4TH CT
Pembroke Pines, FL 33029-4016
Mailing address
17671 SW 4TH CT
Pembroke Pines, FL 33029-4016
Phone (954) 817-3788
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 32389 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1588937312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17671 SW 4TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294016",
"telephone_number": "954-817-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17671 SW 4TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330294016",
"telephone_number": "954-817-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBANDE",
"first_name": "OLUTOLA",
"middle_name": "AKINOLA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 32389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.