Individual provider Active NPI

Michael Oyelahan

  • Pharmacist
  • Frankfort, IL
National Provider Identifier
1801488952
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051293995 Issued in IL
Practice address
21000 S Frankfort Square Rd Ste M
Frankfort, IL 60423-9386
Phone
(815) 534-5813
Fax
(815) 534-5816
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051293995 IL Primary

Addresses

Primary practice location

21000 S Frankfort Square Rd Ste M
Frankfort, IL 60423-9386

Mailing address

21000 S Frankfort Square Rd Ste M
Frankfort, IL 60423-9386
Phone (815) 534-5813

Other identifiers 1

IdentifierTypeStateIssuer
1881065480001MedicaidIL

Other names 1

  • Mr. Opeyemi Oyelahan Former name

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
051293995ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Instantpharmacy LLC CurrentSince Feb 14, 2021 Accepting new patients

Locations

21000 S Frankfort Square Rd
Ste M
Frankfort, IL 60423
Phone (815) 534-5813

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1801488952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 S FRANKFORT SQUARE RD STE M",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239386",
            "telephone_number": "815-534-5813",
            "fax_number": "815-534-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 S FRANKFORT SQUARE RD STE M",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239386",
            "telephone_number": "815-534-5813",
            "fax_number": "815-534-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYELAHAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051293995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881065480001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OPEYEMI",
            "last_name": "OYELAHAN",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.