Individual provider Active NPI

Basirat Olaide Gbemikaiye, PHARMD

  • Pharmacist
  • Lansing, IL
National Provider Identifier
1104611185
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051291884 Issued in IL
Practice address
18145 Charlotte Dr
Lansing, IL 60438-2272
Phone
(765) 409-3502
NPI assigned
Apr 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pharmacist 1835C0205X 7151096 IL
Pharmacotherapy Pharmacist 1835P1200X 308010022 IL
Pharmacist 183500000X 051291884 IL Primary

Addresses

Primary practice location

18145 Charlotte Dr
Lansing, IL 60438-2272

Mailing address

18145 Charlotte Dr
Lansing, IL 60438-2272

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

LicenseStateTypeSpecialty
051291884ILMDPharmacist
7151096ILMDCritical Care Pharmacist
308010022ILMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1104611185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18145 CHARLOTTE DR",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18145 CHARLOTTE DR",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382272",
            "telephone_number": "765-409-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBEMIKAIYE",
        "first_name": "BASIRAT",
        "middle_name": "OLAIDE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "IL",
            "license": "7151096",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "308010022",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.