Individual provider Active NPI

Adenike Omoyosi

  • Pharmacist
  • Houston, TX
National Provider Identifier
1144858473
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65320 Issued in TX
Practice address
14344 Memorial Dr
Houston, TX 77079-6700
Phone
(281) 497-3565
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65320 TX Primary

Addresses

Primary practice location

14344 Memorial Dr
Houston, TX 77079-6700

Mailing address

1518 Coyote Hills LN
Richmond, TX 77469-6236

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

State licenses

LicenseStateTypeSpecialty
65320TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas LP PastSince Apr 5, 2020 Accepting new patients
Kroger Texas L P PastSince Apr 5, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1144858473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COYOTE HILLS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774696236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796700",
            "telephone_number": "281-497-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOYOSI",
        "first_name": "ADENIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.