Active NPI
Olugbemi Dickson Akinlosotu
- Pharmacist
- Waite Park, MN
National Provider Identifier
1922804632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 126774
- Practice address
- 17 Division St
Waite Park, MN 56387-1349 - Phone
- (320) 203-1035
- NPI assigned
- Feb 22, 2025
- Last updated
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 126774 | MN | Primary |
Addresses
Primary practice location
17 Division St
Waite Park, MN 56387-1349
Mailing address
1525 24TH Ave N Apt 13
Saint Cloud, MN 56303-1314
Phone (431) 373-3070
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126774 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
17 Division St
Waite Park, MN 56387
Phone (320) 203-1035
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": "1740182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1922804632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 24TH AVE N APT 13",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031314",
"telephone_number": "431-373-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DIVISION ST",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871349",
"telephone_number": "320-203-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINLOSOTU",
"first_name": "OLUGBEMI",
"middle_name": "DICKSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-22",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "126774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.