Active NPI
Adekunle C. Omoyosi, PHARMD.
- Pharmacist
- Houston, TX
National Provider Identifier
1043699325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55105
- Practice address
- 8515 Fondren Rd Ste 210
Houston, TX 77074-7070 - Phone
- (713) 487-7466
- NPI assigned
- May 20, 2015
- Last updated
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Health Educator | 174H00000X | |||
| Biochemist | 246ZB0500X | |||
| Pharmacist | 183500000X | 55105 | TX | Primary |
Addresses
Primary practice location
8515 Fondren Rd Ste 210
Houston, TX 77074-7070
Mailing address
8515 Fondren Rd Ste 210
Houston, TX 77074-7070
Phone (713) 487-7466
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical.nppes@adeco.xyz | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55105 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1043699325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 FONDREN RD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770747070",
"telephone_number": "713-487-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 FONDREN RD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770747070",
"telephone_number": "713-487-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOYOSI",
"first_name": "ADEKUNLE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZB0500X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Biochemist",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinical.nppes@adeco.xyz",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8515 Fondren Rd Ste 210",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770747070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.