Active NPI
Bolaji Adisa
- Pharmacist
- Orlando, FL
National Provider Identifier
1033706239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35269
- Practice address
- 7300 Sandlake Commons Blvd Ste 225
Orlando, FL 32819-8024 - Phone
- (407) 351-8002
- Fax
- (407) 351-8003
- NPI assigned
- Dec 22, 2020
- Last updated
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35269 | FL | Primary |
Addresses
Primary practice location
7300 Sandlake Commons Blvd Ste 225
Orlando, FL 32819-8024
Mailing address
7300 Sandlake Commons Blvd Ste 225
Orlando, FL 32819-8024
Phone (407) 351-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35269 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daylan Inc | Current | Accepting new patients | |
| Daylan Inc | Current | Accepting new patients |
Locations
7300 Sandlake Commons Blvd
Ste 225
Orlando, FL 32819
Phone (407) 351-8002
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1033706239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 SANDLAKE COMMONS BLVD STE 225",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198024",
"telephone_number": "407-351-8002",
"fax_number": "407-351-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SANDLAKE COMMONS BLVD STE 225",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198024",
"telephone_number": "407-351-8002",
"fax_number": "407-351-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADISA",
"first_name": "BOLAJI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.