Azeezat Bodunrin Shonibare

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH022812 Issued in GA

Practice address

3505 Centerville Hwy
Snellville, GA 30039-6405

Phone

(770) 736-2157

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Snellville, GA
  • NPI 1508992298
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1144832155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 OVERVIEW DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CENTERVILLE HWY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396405",
            "telephone_number": "770-736-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONIBARE",
        "first_name": "AZEEZAT",
        "middle_name": "BODUNRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shepherd'S Medical Transportation Services,LLC
• Jessica Michelle Sheppard, PA-C
• A Paul Sherlag, M.D.
• Eun J Shin, DMD
• Amanda Shoemaker, RBT
• Tatanisha Shumpert, NBCC
• Aysha Nasir Siddiqui, BCBA
• Donna Marie Sieber, C.R.N.A.
• Gary Edward Siegel, M.D.
• Stephen W Sieradzki, D.C.

• Pharmacist in Snellville, GA
• Providers in Snellville, GA by specialty
• Pharmacist in Georgia

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

Verify at the official NPI Registry.