Active NPI
Olufeyisayo Temitayo Omitowoju, PHARMD
- Pharmacist
- Lima, OH
National Provider Identifier
1861276776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03442592
- Practice address
- 5073 Brookhill LN
Lima, OH 45807-8417 - Phone
- (419) 303-6292
- NPI assigned
- Aug 22, 2023
- Last updated
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03442592 | OH | Primary |
Addresses
Primary practice location
5073 Brookhill LN
Lima, OH 45807-8417
Mailing address
5073 Brookhill LN
Lima, OH 45807-8417
Phone (419) 303-6292
Other practice location 1
302 W Robb Ave
Lima, OH 45801-2745
Phone (419) 229-5846
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03442592 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Drug Co | Past | Accepting new patients | |
| Lane Drug Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1861276776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5073 BROOKHILL LN",
"city": "LIMA",
"state": "OH",
"postal_code": "458078417",
"telephone_number": "419-303-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5073 BROOKHILL LN",
"city": "LIMA",
"state": "OH",
"postal_code": "458078417",
"telephone_number": "419-303-6292"
}
],
"practiceLocations": [
{
"address_1": "302 W Robb Ave",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458012745",
"country_code": "US",
"telephone_number": "419-229-5846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMITOWOJU",
"first_name": "OLUFEYISAYO",
"middle_name": "TEMITAYO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "OH",
"license": "03442592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.