Provider Demographics
NPI:1881869105
Name:OLAWAIYE, OLUYEMI ADEKUNLE (RPH)
Entity type:Individual
Prefix:DR
First Name:OLUYEMI
Middle Name:ADEKUNLE
Last Name:OLAWAIYE
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 FAIRVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-2900
Mailing Address - Country:US
Mailing Address - Phone:716-390-1785
Mailing Address - Fax:
Practice Address - Street 1:29 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-2900
Practice Address - Country:US
Practice Address - Phone:716-390-1785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049956-11835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy