Olamide T Fasonu, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

47418 Issued in TX

Practice address

4041 W Wheatland Rd
Suite 204
Dallas, TX 75237-4063

Phone

(972) 709-2190

NPI assigned

Nov 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Locations

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.

• Medfront LLC

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1932478112
  NPD
• Medfront LLC

  • Long Term Care Pharmacy
  • Dallas, TX
  • NPI 1982389748
  NPD

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1992033286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "SUITE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374063",
            "telephone_number": "972-709-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "SUITE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374063",
            "telephone_number": "972-709-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASONU",
        "first_name": "OLAMIDE",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Fasanya Jr., PT, DPT
• Deji V. Fashemo, DDS, MPH
• Olayemi Seidat Fashemo, NP
• Carlos G Fasola, M.D.
• Genevieve Fasolino, OTR, OTD
• Oren N Fass, M.D.
• Vail Fassett, MOTL,LMT, CMLOT-LANA
• Alyssa A Fassig
• Tina Morell Fast, NP
• Alicia Marie Faszholz, M.D.

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.