Active NPI
Kayode Akinwande, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1114513462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051038238
- Practice address
- 8712 S Stony Island Ave
Chicago, IL 60617-2708 - Phone
- (773) 933-9200
- Fax
- (773) 933-9206
- NPI assigned
- Dec 20, 2020
- Last updated
- Dec 20, 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 | 051038238 | IL | Primary |
Addresses
Primary practice location
8712 S Stony Island Ave
Chicago, IL 60617-2708
Mailing address
1220 S Federal St Unit a
Chicago, IL 60605-3385
Phone (708) 280-4569
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 7739339200 | 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051038238 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1114513462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S FEDERAL ST UNIT A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053385",
"telephone_number": "708-280-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 S STONY ISLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606172708",
"telephone_number": "773-933-9200",
"fax_number": "773-933-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINWANDE",
"first_name": "KAYODE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-20",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051038238",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "7739339200",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8712 S Stony Island Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606172708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.