Modebola Olotu

Primary specialty

PharmacistTaxonomy code 183500000X

License

62344 Issued in TX

Practice address

19106 Waverdale CT
Houston, TX 77094-1135

Phone

(404) 451-6662

NPI assigned

Jul 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atoms Pharmacy LLC

  • Long Term Care Pharmacy
  • Katy, TX
  • NPI 1396407813
  NPD (past)
• Atoms Pharmacy LLC

  • Community/Retail Pharmacy
  • Pearland, TX
  • NPI 1821554551
  NPD (past)

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1902289283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19106 WAVERDALE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941135",
            "telephone_number": "404-451-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19106 WAVERDALE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941135",
            "telephone_number": "404-451-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOTU",
        "first_name": "MODEBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "023860",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18353",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseun Temitope Olorundare, RN
• Oreoluwa Olalekan Olorunlogbon
• Olushola Bidemi Olorunnipa, M.D.
• Omobola Patricia Olorunsiwa
• Siya Oloso
• Roxanna Oloumi-Johnson, PHD
• Olateju F Olowe
• Tolulope David Olowokere
• Babatope Gabriel Olowoyo, BSC., MSC.,
• Oluwatofunmi Olowoyo, MD

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.