Active NPI
Oluwapamilerin Adeola Olanipekun, PHARMD
- Pharmacist
- Crowley, TX
National Provider Identifier
1669054755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67804
- Practice address
- 825 S Crowley Rd
Crowley, TX 76036-3663 - Phone
- (817) 297-2281
- Fax
- (817) 297-3153
- NPI assigned
- Apr 27, 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 | 67804 | TX | Primary |
Addresses
Primary practice location
825 S Crowley Rd
Crowley, TX 76036-3663
Mailing address
3412 Hockley Ranch Rd
Roanoke, TX 76262-2032
Phone (904) 402-7347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1964074 | Other | TX | CVS PHARMACY EIN |
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 |
|---|---|---|---|
| 67804 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas, LLC | Past | Accepting new patients | |
| Wal-Mart Stores Texas LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Walmart Pharmacy 10-2979
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1215954342
-
dba Walmart Pharmacy 10-1484
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1386521797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1669054755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 HOCKLEY RANCH RD",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762622032",
"telephone_number": "904-402-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S CROWLEY RD",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760363663",
"telephone_number": "817-297-2281",
"fax_number": "817-297-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLANIPEKUN",
"first_name": "OLUWAPAMILERIN",
"middle_name": "ADEOLA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVS PHARMACY EIN",
"identifier": "1964074",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.