Individual provider Active NPI

Ganiat Oluwamayowa Ojeabulu, PHARMD

  • Pharmacist
  • Riviera Beach, FL
National Provider Identifier
1669759908
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
SP40758 Issued in FL
Practice address
4001 Rocks Point PL
Riviera Beach, FL 33407-1103
Phone
(786) 877-9297
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X SP40758 FL Primary
Pharmacist 183500000X 49832 TX

Addresses

Primary practice location

4001 Rocks Point PL
Riviera Beach, FL 33407-1103

Mailing address

4001 Rocks Point PL
Riviera Beach, FL 33407-1103
Phone (786) 877-9297

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

LicenseStateTypeSpecialty
SP40758FLMDPharmacist
49832TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1669759908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 ROCKS POINT PL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334071103",
            "telephone_number": "786-877-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 ROCKS POINT PL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334071103",
            "telephone_number": "786-877-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEABULU",
        "first_name": "GANIAT",
        "middle_name": "OLUWAMAYOWA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "SP40758",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.