Active NPI
Olugbenga Oni, RPH
- Pharmacist
- Melbourne, FL
National Provider Identifier
1699050393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40449
- Practice address
- 6300 N Wickham Rd
Suite 126
Melbourne, FL 32940-2028 - Phone
- (321) 610-3114
- Fax
- (321) 622-8609
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- 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 | PS40449 | FL | Primary |
Addresses
Primary practice location
6300 N Wickham Rd
Suite 126
Melbourne, FL 32940-2028
Mailing address
6300 N Wickham Rd
Suite 126
Melbourne, FL 32940-2028
Phone (321) 610-3114
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40449 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lordoni Discount Pharmacy Inc | Current | Accepting new patients | |
| Lordoni Discount Pharmacy Inc | Current | Accepting new patients |
Locations
6300 N Wickham Rd
Ste 126
Melbourne, FL 32940
Phone (321) 610-3114
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.
-
- Long Term Care Pharmacy
- Melbourne, FL
- NPI 1205475175
-
- Community/Retail Pharmacy
- Melbourne, FL
- NPI 1306180997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1699050393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 N WICKHAM RD",
"address_2": "SUITE 126",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402028",
"telephone_number": "321-610-3114",
"fax_number": "321-622-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N WICKHAM RD",
"address_2": "SUITE 126",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402028",
"telephone_number": "321-610-3114",
"fax_number": "321-622-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONI",
"first_name": "OLUGBENGA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.