DR. BOLANLE BASIRAT OKEGBENR-JIMOH


Address: 3965 Hyde Park Cir, Hollywood, FL 33021-3046
Phone: 7862028099

DR. BOLANLE BASIRAT OKEGBENR-JIMOH (NPI# 1992081376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992081376
Entity Type Individual
Full Name DR. BOLANLE BASIRAT OKEGBENR-JIMOH
Credential PHARMD
Practice Address 3965 Hyde Park Cir
Hollywood
FL 33021-3046
Practice Telephone 7862028099
Mailing Telephone 7862028099
Enumeration Date 2011-10-28
Last Update Date 2011-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS45341 FL Pharmacy Service Providers

Office Location

Street Address 3965 HYDE PARK CIR
City HOLLYWOOD
State FL
Zip Code 33021-3046

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1649763673 Sabrina Shoba Mathura Behavior Technician 4400 Madison St, Hollywood, FL 33021 2018-06-13
1558850149 South Broward Hospital District Pediatrics 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 2018-05-09
1942798368 Kyndra Monique Liburd Student in an Organized Health Care Education/Training Program Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 2018-05-01
1992292106 Madeleine Mariela Reyes Nurse Practitioner 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 2018-04-13
1487168233 Gynecologic Oncology & Urogynecology Obstetrics & Gynecology 1150 N 35th Ave Ste 670, Hollywood, FL 33021 2017-11-30
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1093233587 Benjamin Laborde Physical Therapy Assistant 4200 Washington Street, Hollywood, FL 33021 2017-09-05
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285244772 Franco A Dickson Pharmacist 3600 Washington St, Hollywood, FL 33021-8216 2020-08-09
1770105918 Robert Woods Pharmacist 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 2020-05-11
1407481450 Nicolle Dambly Pharmacist 3501 Johnson St, Hollywood, FL 33021-5421 2020-03-10
1306496773 Richie Onwuchekwa Uba Pharmacist 3600 Washington St, Hollywood, FL 33021-8216 2019-09-17
1699260729 Lisa Kohler Pharmacist 3501 Johnson St, Hollywood, FL 33021-5421 2018-07-01
1487046041 Marlaine Mance Pharmacist 3501 Johnson St, Pharmacy Department, Hollywood, FL 33021-5421 2015-02-19
1104256858 Vu Phung Huynh Pharmacist 3501 Johnson St, Hollywood, FL 33021-5421 2013-11-16
1386084093 Adel Eltantawy Pharmacist 3850 Hollywood Blvd, Hollywood, FL 33021-6748 2013-06-26
1053652560 Angel Maldonado Pharmacist 3501 Johnson St, Hollywood, FL 33021-5421 2013-03-07
1417298019 Chad Allen Edgar Pharmacist 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 2013-03-06
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Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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