Active NPI
Anuoluwapo T Olofinlua
- Pharmacist
- Hagerstown, MD
National Provider Identifier
1831607829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60473 | TX | MD | Professional Counselor |
| RPH.03237540-2 | OH | MD | Pharmacist |
| 24613 | MD | MD | Physical 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.