Active NPI
Bolanle Obafemi, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1144814088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452943
- Practice address
- 117 S 20TH St
Philadelphia, PA 19103-4606 - Phone
- (215) 867-8777
- NPI assigned
- Feb 22, 2021
- Last updated
- Feb 22, 2021
- 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 | RP452943 | PA | Primary |
Addresses
Primary practice location
117 S 20TH St
Philadelphia, PA 19103-4606
Mailing address
6350 Greene St Apt 619
Philadelphia, PA 19144-2513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP452943 | Other | PA | PENNSYLVANIA STATE BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Capsule |
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 |
|---|---|---|---|
| RP452943 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capsule Philadelphia LLC | Current | Accepting new patients | |
| Capsule Philadelphia LLC | Current | Accepting new patients |
Locations
117 S 20th St
Philadelphia, PA 19103
Phone (215) 867-8777
Organizations & group practices 2
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.
-
dba Capsule Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1669073375
-
dba Capsule Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1962048678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1144814088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 GREENE ST APT 619",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191442513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034606",
"telephone_number": "215-867-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAFEMI",
"first_name": "BOLANLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE BOARD OF PHARMACY",
"identifier": "RP452943",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Capsule",
"affiliation": "N",
"address_1": "117 S 20th St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191034606",
"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 Feb 22, 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.