Modinat Fadeke Abiodun, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28460 Issued in NC

Practice address

1250 Tom Hall St
Fort Mill, SC 29715-7000

Phone

(803) 548-4699

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Fort Mill, SC
  • NPI 1194057927
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2019.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1013574094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 TOM HALL ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157000",
            "telephone_number": "803-548-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 TOM HALL ST",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157000",
            "telephone_number": "803-548-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIODUN",
        "first_name": "MODINAT",
        "middle_name": "FADEKE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A New Leaf Consulting & Counseling
• A New Leaf Home Care LLC
• A Traveler'S Hand, LLC
• Randa Ali Abbas
• Abide Home Care
• Michael Abraham II, ATC, PES
• Acacia Chiropractic Clinic PLLC
• Ace Clinic of Chiropractic, LLC
• Jeremy L Adams, FNP-C
• Kayonna Adams, RBT

• All providers in Fort Mill, SC
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.