Active NPI
Olabisi Ajibola, PHARMACIST
- Pharmacist
- Frisco, TX
National Provider Identifier
1962709204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002027636
- Practice address
- Alliancerx Walgreens Prime
10530 John W Elliott Drive
Frisco, TX 75033-4265 - Phone
- (800) 424-9002
- NPI assigned
- Feb 23, 2011
- Sex
- Female
- 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 | 2002027636 | MO | Primary |
Addresses
Primary practice location
Alliancerx Walgreens Prime
10530 John W Elliott Drive
Frisco, TX 75033-4265
Mailing address
5017 Geranium CT
McKinney, TX 75070-4688
Phone (832) 458-5196
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 |
|---|---|---|---|
| 2002027636 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1962709204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 GERANIUM CT",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750704688",
"telephone_number": "832-458-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALLIANCERX WALGREENS PRIME",
"address_2": "10530 JOHN W ELLIOTT DRIVE",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334265",
"telephone_number": "800-424-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJIBOLA",
"first_name": "OLABISI",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-23",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002027636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.