Active NPI
Ayokunle J Gbadebo, PHARM D
- Pharmacist
- Frisco, TX
National Provider Identifier
1063015600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49230
- Practice address
- 11339 Las Polamas Dr
Frisco, TX 75033-7397 - Phone
- (214) 432-0465
- NPI assigned
- Nov 17, 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 | 49230 | TX | Primary |
Addresses
Primary practice location
11339 Las Polamas Dr
Frisco, TX 75033-7397
Mailing address
11339 Las Polamas Dr
Frisco, TX 75033-7397
Phone (214) 432-0465
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 |
|---|---|---|---|
| 49230 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1063015600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11339 LAS POLAMAS DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750337397",
"telephone_number": "214-432-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11339 LAS POLAMAS DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750337397",
"telephone_number": "214-432-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GBADEBO",
"first_name": "AYOKUNLE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.