Individual provider Active NPI

Oloruntoba Ade Ogundayomi

  • Pharmacist
  • Houston, TX
National Provider Identifier
1922727379
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00000 Issued in TX
Practice address
2840 Shadowbriar Dr Apt 1413
Houston, TX 77077-3292
Phone
(281) 250-8815
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00000 TX Primary

Addresses

Primary practice location

2840 Shadowbriar Dr Apt 1413
Houston, TX 77077-3292

Mailing address

2840 Shadowbriar Dr Apt 1413
Houston, TX 77077-3292
Phone (281) 250-8815

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
00000TXMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1922727379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 SHADOWBRIAR DR APT 1413",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773292",
            "telephone_number": "281-250-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 SHADOWBRIAR DR APT 1413",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773292",
            "telephone_number": "281-250-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDAYOMI",
        "first_name": "OLORUNTOBA",
        "middle_name": "ADE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.