Individual provider Active NPI

Oluwafisayo Awosika, PHARMD

  • Pharmacist
  • Huntley, IL
National Provider Identifier
1770195059
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051300071 Issued in IL
Practice address
12000 Princeton Dr
Huntley, IL 60142-7654
Phone
(224) 569-6518
NPI assigned
Aug 19, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051300071 IL Primary

Addresses

Primary practice location

12000 Princeton Dr
Huntley, IL 60142-7654

Mailing address

12000 Princeton Dr
Huntley, IL 60142-7654
Phone (224) 569-6518

Other practice location 1

1024 Birchwood Dr
Pingree Grove, IL 60140-9107
Phone (224) 281-3034

Other identifiers 2

IdentifierTypeStateIssuer
1746072OtherILCOMMERCIAL INSURANCES
1746072MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Huntley Health Information Exchange (HIE) walgreens pharmacy
CONNECT URL huntley Health Information Exchange (HIE) walgreens pharmacy

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051300071ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1770195059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 PRINCETON DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427654",
            "telephone_number": "224-569-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 PRINCETON DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427654",
            "telephone_number": "224-569-6518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 Birchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Pingree Grove",
            "state": "IL",
            "postal_code": "601409107",
            "country_code": "US",
            "telephone_number": "224-281-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOSIKA",
        "first_name": "OLUWAFISAYO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "1746072",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1746072",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Huntley",
            "affiliation": "Y",
            "endpointDescription": "Walgreens",
            "affiliationName": "walgreens pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Vaccine Records",
            "address_1": "12000 Princeton Dr",
            "city": "Huntley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601427654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "huntley",
            "affiliation": "Y",
            "endpointDescription": "Walgreens Pharmacy",
            "affiliationName": "walgreens pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Immunization Records",
            "address_1": "12000 Princeton Dr",
            "city": "Huntley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601427654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.