Individual provider Active NPI

Adetayo O Olayinka, B.PHARM

  • Pharmacist
  • Crescent City, FL
National Provider Identifier
1740458009
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0029715 Issued in FL
Practice address
897 N Summit St
Crescent City, FL 32112-2109
Phone
(386) 698-2666
Fax
(386) 698-1779
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0029715 FL Primary

Addresses

Primary practice location

897 N Summit St
Crescent City, FL 32112-2109

Mailing address

897 N Summit St
Crescent City, FL 32112-2109
Phone (386) 698-2666

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

LicenseStateTypeSpecialty
PS0029715FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pharmacy Inc Current Accepting new patients

Locations

897 N Summit St
Crescent City, FL 32112
Phone (386) 698-2666

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1740458009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 N SUMMIT ST",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321122109",
            "telephone_number": "386-698-2666",
            "fax_number": "386-698-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 N SUMMIT ST",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321122109",
            "telephone_number": "386-698-2666",
            "fax_number": "386-698-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYINKA",
        "first_name": "ADETAYO",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "B.PHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0029715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.