Bolaji Adisa

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS35269 Issued in FL

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

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Daylan Inc

  • Community/Retail Pharmacy
  • Altamonte Springs, FL
  • NPI 1083936496
  NPD Authorized official
• Daylan Inc

  • Community/Retail Pharmacy
  • Orlando, FL
  • NPI 1467633206
  NPD

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": []
}

• Aderis Health Technologies
• Ademola Adewale, MD
• /Raphael Olorunleke Adeyemi
• Fauzia Debbie Adeyemo
• Anshumala Adhikari, MD
• David Allen Adkins, D.C
• Dominique Nicole Adkins, PHARMD
• Laurie Michelle Adkins, PA-C
• Lillie Adkins, MSW
• Savannah Adkins

• Pharmacist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist in Florida

• 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.

Verify at the official NPI Registry.