Active NPI
Omoyele Aret Oluwa, PHARMD
- Pharmacist
- Woodstock, GA
National Provider Identifier
1972780468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022182
- Practice address
- 6236 Holly Spring Pkwy
Woodstock, GA 30188-6501 - Phone
- (770) 928-5536
- Fax
- (770) 928-5541
- NPI assigned
- Jan 28, 2008
- 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 | RPH022182 | GA | Primary |
Addresses
Primary practice location
6236 Holly Spring Pkwy
Woodstock, GA 30188-6501
Mailing address
6236 Holly Spring Pkwy
Woodstock, GA 30188
Phone (770) 928-5536
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022182 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1972780468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6236 HOLLY SPRING PKWY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30188",
"telephone_number": "770-928-5536",
"fax_number": "770-928-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6236 HOLLY SPRING PKWY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886501",
"telephone_number": "770-928-5536",
"fax_number": "770-928-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUWA",
"first_name": "OMOYELE",
"middle_name": "ARET",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.