Individual provider Active NPI

Anuoluwapo T Olofinlua

  • Pharmacist
  • Hagerstown, MD
National Provider Identifier
1831607829
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24613 Issued in MD
Practice address
1631 Dual Hwy
Hagerstown, MD 21740-6545
Phone
(240) 313-9165
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60473 TX
Pharmacist 183500000X RPH.03237540-2 OH
Pharmacist 183500000X 24613 MD Primary

Addresses

Primary practice location

1631 Dual Hwy
Hagerstown, MD 21740-6545

Mailing address

1631 Dual Hwy
Hagerstown, MD 21740-6545
Phone (240) 313-9165

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
60473TXMDProfessional Counselor
RPH.03237540-2OHMDPharmacist
24613MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1831607829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406545",
            "telephone_number": "240-313-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406545",
            "telephone_number": "240-313-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOFINLUA",
        "first_name": "ANUOLUWAPO",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "60473",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03237540-2",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "24613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.