Active NPI
Foluke Adetola Opeifa
- Pharmacist
- Tucker, GA
National Provider Identifier
1073105417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13433-40
- Practice address
- 6409 Wedgewood Trce
Tucker, GA 30084-1347 - Phone
- (678) 534-9811
- NPI assigned
- Feb 8, 2021
- Last updated
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH022352 | GA | |
| Pharmacist | 183500000X | 13433-40 | WI | Primary |
Addresses
Primary practice location
6409 Wedgewood Trce
Tucker, GA 30084-1347
Mailing address
6409 Wedgewood Trce
Tucker, GA 30084-1347
Phone (678) 534-9811
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tucker | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022352 | GA | MD | Pharmacist |
| 13433-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1073105417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6409 WEDGEWOOD TRCE",
"city": "TUCKER",
"state": "GA",
"postal_code": "300841347",
"telephone_number": "678-534-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6409 WEDGEWOOD TRCE",
"city": "TUCKER",
"state": "GA",
"postal_code": "300841347",
"telephone_number": "678-534-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPEIFA",
"first_name": "FOLUKE",
"middle_name": "ADETOLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022352",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13433-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Tucker",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6409 Wedgewood Trce",
"city": "Tucker",
"state": "GA",
"country_code": "US",
"postal_code": "300841347",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tucker, GA
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- John L Oprysko, D.O.
- Optimal Hearing Systems, LLC
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- Oro-Facial Center Inc
- Orthodontic Care of Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.