Active NPI
Albert Olugbotemi Dada, PHARMACIST
- Pharmacist
- Chicago, IL
National Provider Identifier
1154771095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051032390
- Practice address
- 3752 W 16TH St
Chicago, IL 60623-2028 - Phone
- (773) 521-0060
- Fax
- (773) 521-8770
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 051032390 | IL | Primary |
Addresses
Primary practice location
3752 W 16TH St
Chicago, IL 60623-2028
Mailing address
9230 Frances LN
Orland Park, IL 60462-4747
Phone (773) 521-0060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051032390 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1154771095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9230 FRANCES LN",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624747",
"telephone_number": "773-521-0060",
"fax_number": "773-521-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3752 W 16TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606232028",
"telephone_number": "773-521-0060",
"fax_number": "773-521-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA",
"first_name": "ALBERT",
"middle_name": "OLUGBOTEMI",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051032390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.