Provider Demographics
NPI:1922688597
Name:AKINYOYENU, TITILAYO (RPH)
Entity Type:Individual
Prefix:
First Name:TITILAYO
Middle Name:
Last Name:AKINYOYENU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3839 MINNESOTA AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2660
Mailing Address - Country:US
Mailing Address - Phone:202-388-1900
Mailing Address - Fax:202-388-8099
Practice Address - Street 1:3839 MINNESOTA AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2660
Practice Address - Country:US
Practice Address - Phone:202-388-1900
Practice Address - Fax:202-388-8099
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPHA32421835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPHA3242OtherDC BOARD OF PHARMACY