Adedayo Widlak, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0011214 Issued in CT

Practice address

441 Long Hill Rd
Walgreens Pharmacy
Groton, CT 06340-4149

Phone

(860) 405-1919

NPI assigned

Mar 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Adedayo Aderoju Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1083937825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LEDGEWOOD RD APT 412",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406612",
            "telephone_number": "575-921-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 LONG HILL RD",
            "address_2": "WALGREENS PHARMACY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404149",
            "telephone_number": "860-405-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDLAK",
        "first_name": "ADEDAYO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0011214",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006715",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEDAYO",
            "last_name": "ADEROJU",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nichol Jo West, LCSW
• Amanda Wheeler
• Andrew D Whitbeck, IDC
• Kayla Arielle White
• Malissa D Wickersham, FNP
• John Joseph Widlak Jr., D.M.D.
• Michael Andrew Widroff
• Laurel Anne Wiers, LMFT
• Corey Robin Wilfon
• Audra Marie Wilks, M.S., CCC-SLP

• Pharmacist in Groton, CT
• Providers in Groton, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.