Active NPI
Olubukola Evelyn Hurdle, REGISTERED PHARMACIS
- Pharmacist
- Irvington, NJ
National Provider Identifier
1639946213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04347600
- Practice address
- 810 Springfield Ave
Irvington, NJ 07111-3616 - Phone
- (862) 236-1348
- NPI assigned
- Dec 5, 2023
- Last updated
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 28RI04347600 | NJ | Primary |
Addresses
Primary practice location
810 Springfield Ave
Irvington, NJ 07111-3616
Mailing address
7 Davis CT
Staten Island, NY 10310-1653
Phone (631) 829-4668
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 |
|---|---|---|---|
| 28RI04347600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
810 Springfield Ave
Irvington, NJ 07111
Phone (862) 236-1348
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1639946213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DAVIS CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101653",
"telephone_number": "631-829-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 SPRINGFIELD AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113616",
"telephone_number": "862-236-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURDLE",
"first_name": "OLUBUKOLA",
"middle_name": "EVELYN",
"credential": "REGISTERED PHARMACIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04347600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.