Active NPI
Ayooluwa Stephanie Tonade
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1083200703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP454740
- Practice address
- 3260 N Broad St
Philadelphia, PA 19140-5008 - Phone
- (215) 225-9704
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- 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 | RP454740 | PA | Primary |
Addresses
Primary practice location
3260 N Broad St
Philadelphia, PA 19140-5008
Mailing address
4616 N Broad St
Philadelphia, PA 19140-1218
Phone (215) 329-4840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NEXTGEN | 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 |
|---|---|---|---|
| RP454740 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Philadelphia, PA
- NPI 1619420361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1083200703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401218",
"telephone_number": "215-329-4840",
"fax_number": "215-225-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405008",
"telephone_number": "215-225-9704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONADE",
"first_name": "AYOOLUWA",
"middle_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454740",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NEXTGEN",
"affiliation": "N",
"endpointDescription": "NEXTGEN",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3260 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191405008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.