Oluwadamilola Ayanda
Pharmacist in Red Oak, TX. Individual provider (NPI-1).
NPI number1346019452
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1346019452
- Entity type
- Individual (NPI-1)
- Name
- Oluwadamilola Ayanda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2023
- Certification date
- Dec 29, 2023
- Last updated
- Dec 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 73600 | TX | Yes |
Practice location
105 Harris AveRed Oak, TX 75154-4216
Phone 972-617-0034
Mailing address
3507 Walnut Ridge DrMidlothian, TX 76065-5378
Phone 682-718-5848
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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