Individual provider Active NPI

Titilola O Ogundiya, RPH

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1700162906
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1147130 Issued in TN
Practice address
3880 Dickerson Road
Walgreen
Nashville, TN 37207-1321
Phone
(615) 228-2982
Fax
(615) 228-4019
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1147130 TN Primary

Addresses

Primary practice location

3880 Dickerson Road
Walgreen
Nashville, TN 37207-1321

Mailing address

3500 Gallatin Pike
Walgreens Pharmacy
Nashville, TN 37216
Phone (615) 228-2982

Other identifiers 1

IdentifierTypeStateIssuer
1147130OtherTNTN PHARMACIST LICENSE NO

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

LicenseStateTypeSpecialty
1147130TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1700162906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GALLATIN PIKE",
            "address_2": "WALGREENS PHARMACY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37216",
            "telephone_number": "615-228-2982",
            "fax_number": "615-228-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 DICKERSON ROAD",
            "address_2": "WALGREEN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071321",
            "telephone_number": "615-228-2982",
            "fax_number": "615-228-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDIYA",
        "first_name": "TITILOLA",
        "middle_name": "O",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "1147130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN  PHARMACIST LICENSE NO",
            "identifier": "1147130",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.