Active NPI
Olufunmilayo D Adeyanju
- Pharmacist
- San Antonio, TX
National Provider Identifier
1760273536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75485
- Practice address
- 12352 FM 1957
San Antonio, TX 78253-9273 - Phone
- (210) 679-0130
- NPI assigned
- May 13, 2025
- Last updated
- May 13, 2025
- Sex
- Female
- 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 | 75485 | TX | Primary |
Addresses
Primary practice location
12352 FM 1957
San Antonio, TX 78253-9273
Mailing address
14625 Potranco Rd Apt 6202
San Antonio, TX 78253-2357
Phone (206) 484-9484
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 |
|---|---|---|---|
| 75485 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
12352 FM 1957
San Antonio, TX 78253
Phone (210) 679-0130
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1760273536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14625 POTRANCO RD APT 6202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782532357",
"telephone_number": "206-484-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12352 FM 1957",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782539273",
"telephone_number": "210-679-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYANJU",
"first_name": "OLUFUNMILAYO",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "75485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.