Eniola O Leyimu, PHARM.D

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PS23710 Issued in FL

Practice address

864 Camp Francis Johnson Rd
Orange Park, FL 32065-5808

Phone

(904) 276-7531

NPI assigned

Jun 18, 2010

Last updated

Jun 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1922329440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CAMP FRANCIS JOHNSON RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655808",
            "telephone_number": "904-276-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CAMP FRANCIS JOHNSON RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655808",
            "telephone_number": "904-276-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYIMU",
        "first_name": "ENIOLA",
        "middle_name": "O",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PU4479",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS23710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Lewis
• Gary William Lewis, PT
• Katherine Morgan Lewis
• Pamela J Lewis
• Stephanie Tramaine Lewis, COTA
• Marilyn Leyva Fernandez, RDH
• Licini Inc
• Kerri S. Licini, MA, MAED., BCBA
• Samantha Licini
• Life Care Centers of America, Inc. (Life Care Center at Wells Crossing)

• Pharmacotherapy Pharmacist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Pharmacotherapy Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.