Individual provider Active NPI

Aderonke Arinola Omotoso, B PHARM

  • Pharmacist
  • Albany, GA
National Provider Identifier
1043506017
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025908 Issued in GA
Practice address
2425 N Slappey Blvd
Albany, GA 31701-1009
Phone
(229) 883-5047
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH025908 GA Primary

Addresses

Primary practice location

2425 N Slappey Blvd
Albany, GA 31701-1009

Mailing address

420 Connell Rd
Apt 13C
Valdosta, GA 31602-1492
Phone (229) 630-3086

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH025908GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1043506017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CONNELL RD",
            "address_2": "APT 13C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021492",
            "telephone_number": "229-630-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011009",
            "telephone_number": "229-883-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOTOSO",
        "first_name": "ADERONKE",
        "middle_name": "ARINOLA",
        "name_prefix": "Mrs.",
        "credential": "B PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.