Adenike Fasan, B.PHARM

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

23960 Issued in NC

Practice address

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369

Phone

(980) 442-9304

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adenike Akinbowale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1043719958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HUGH FOREST RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282709797",
            "telephone_number": "980-442-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMERON VALLEY PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114369",
            "telephone_number": "980-442-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASAN",
        "first_name": "ADENIKE",
        "name_prefix": "Mrs.",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "NC",
            "license": "23960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADENIKE",
            "last_name": "AKINBOWALE",
            "credential": "B.PHARM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Ann Farres, PA-C
• Jessica Brittany Farrior
• Polly B. Farris, CRNA
• Georgina Farrow, PHARMD, BCACP, CPP
• Michael Wayne Farwell, D.O.
• Omotayo Olusola Fasan, MBBS
• Brooke Mary Fasano, MD
• Carolina Fasola, M.D., M.P.H.
• Alia Fasold
• Danielle Nicole Fassieux, CRNA

• Oncology Pharmacist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Oncology Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.