MODUPE M. FAMODIMU PHARM.D – NPI #1801221817
Pharmacist

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.

MODUPE FAMODIMU is a pharmacist located in PLANO, TX. NPPES has assigned the NPI number 1801221817 to MODUPE FAMODIMU on September 09, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 4 years ago on Apr 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODUPE FAMODIMU below.

NPI Profile for
MODUPE M. FAMODIMU

NPI Number
1801221817
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MODUPE M. FAMODIMU
Credentials
PHARM.D
Primary location
5501 INDEPENDENCE PKWY STE 311
PLANO, TX 75023-5468
Phone: (832) 755-3078 Fax:
Mailing address
8055 WINDROSE AVE APT 3121
PLANO, TX 75024-0268
Phone: (832) 755-3078 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
TX 53736

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
cdrive
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
5501 INDEPENDENCE PKWY STE 311,
PLANO, TX 77025-1669