Olive Tree Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OLIVE TREE HEALTHCARE LLC

Practice address

253 S 60TH St
Philadelphia, PA 19139-3844

Phone

(610) 257-3105

Fax

(610) 257-3104

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Adigun Olatubosun Itabiyi, RPHNPI 1639537939

Title

Pharmacist Manager

Phone

(610) 257-3105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OLIVE TREE PHARMACY Other name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Olive Tree Healthcare LLC

  • In Home Supportive Care Agency
  • Abington, PA
  • NPI 1639098247
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adigun Olatubosun Itabiyi, RPH

  • Pharmacist
  • Abington, PA
  • NPI 1639537939
  NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1780269175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393844",
            "telephone_number": "610-257-3105",
            "fax_number": "610-257-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393844",
            "telephone_number": "610-257-3105",
            "fax_number": "610-257-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ITABIYI",
        "authorized_official_first_name": "ADIGUN",
        "authorized_official_middle_name": "OLATUBOSUN",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "610-257-3105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103935262-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIVE TREE PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OLIVE TREE PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Agustin Ernesto Olivares Felipe, MD
• Olive Branch Counseling LLC
• Olive Branch Home Health Care Inc.
• Olive Branch Psychological Consulting Services
• Olive Healthcare Inc
• Andre Oliver
• Edward Raymond Oliver, MD, PHD
• Emily Oliver, MD
• Harold D. Oliver Jr.
• Janine Oliver, LCSW

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.