Active NPI
Oladimeji Roleola
- Pharmacist
- Shreveport, LA
National Provider Identifier
1720539331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021769
- Practice address
- 2758 W 70TH St
Shreveport, LA 71108-4502 - Phone
- (318) 631-9891
- NPI assigned
- Oct 18, 2016
- 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 | 021769 | LA | Primary |
Addresses
Primary practice location
2758 W 70TH St
Shreveport, LA 71108-4502
Mailing address
111 Macdade Blvd
Apt A216
Folsom, PA 19033-2911
Phone (347) 593-5918
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 |
|---|---|---|---|
| 021769 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gatewood Pharmacy PLLC | Current | 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.
-
- Community/Retail Pharmacy
- Garland, TX
- NPI 1164981510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1720539331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MACDADE BLVD",
"address_2": "APT A216",
"city": "FOLSOM",
"state": "PA",
"postal_code": "190332911",
"telephone_number": "347-593-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 W 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711084502",
"telephone_number": "318-631-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLEOLA",
"first_name": "OLADIMEJI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.