IndividualActive
Bamidele Otunuga, R.PH
NPI 1629323332 · Pharmacist · Grand Prairie, TX
Provider details
- NPI number
- 1629323332
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 39744 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5270 S State Highway 360
Target Pharmacy (t-2243)
Grand Prairie, TX 75052-8307
Phone: (469) 348-2101
Street-level locationGet directions
Mailing address
5270 S State Highway 360
Grand Prairie, TX 75052-8307
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.