Organization Active NPI

Jebix Corporation

  • Pharmacist
  • Washington, DC
National Provider Identifier
1821139239
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH3139 Issued in DC
Legal business name
JEBIX CORPORATION
Doing business as
Mt Olivet Pharmacy & Medical Equipment
Practice address
1809 W Virginia Ave NE
Washington, DC 20002-1827
Phone
(202) 529-7001
Fax
(202) 529-7005
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Omotayo Sule Awotunde, PHARM. DNPI 1275643496
Title
Pharmacist
Phone
(202) 529-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH3139 DC Primary

Addresses

Primary practice location

1809 W Virginia Ave NE
Washington, DC 20002-1827

Mailing address

1809 W Virginia Ave NE
Washington, DC 20002-1827
Phone (202) 529-7001

Other identifiers 1

IdentifierTypeStateIssuer
035738300MedicaidDC

Other names 1

  • Mt Olivet Pharmacy & Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

1809 W Virginia Ave NE
Washington, DC 20002
Phone (202) 529-7001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1821139239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W VIRGINIA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021827",
            "telephone_number": "202-529-7001",
            "fax_number": "202-529-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W VIRGINIA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021827",
            "telephone_number": "202-529-7001",
            "fax_number": "202-529-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBIX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "AWOTUNDE",
        "authorized_official_first_name": "OMOTAYO",
        "authorized_official_middle_name": "SULE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "202-529-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035738300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Olivet Pharmacy & Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.