Individual provider Active NPI

Afoluke Atinuke Latinwo

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1871198630
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39072 Issued in TX
Practice address
39739 LBJ Fwy
Dallas, TX 75237-3560
Phone
(469) 341-3901
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39072 TX Primary

Addresses

Primary practice location

39739 LBJ Fwy
Dallas, TX 75237-3560

Mailing address

39739 LBJ Fwy
Dallas, TX 75237-3560
Phone (469) 341-3901

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
39072TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1871198630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39739 LBJ FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373560",
            "telephone_number": "469-341-3901",
            "fax_number": "972-232-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39739 LBJ FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373560",
            "telephone_number": "469-341-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATINWO",
        "first_name": "AFOLUKE",
        "middle_name": "ATINUKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.