Active NPI
Adebimpe Ayanwola, PHARM,D.
- Pharmacist
- Mesquite, TX
National Provider Identifier
1154929313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49022
- Practice address
- 1429 Taylor Dr
Mesquite, TX 75149-6957 - Phone
- (214) 734-4359
- NPI assigned
- Oct 10, 2020
- Sex
- Female
- 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 | 49022 | TX | Primary |
Addresses
Primary practice location
1429 Taylor Dr
Mesquite, TX 75149-6957
Mailing address
10530 John W Elliott Dr
Frisco, TX 75033-2013
Phone (214) 734-4359
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 |
|---|---|---|---|
| 49022 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602288000000",
"number": "1154929313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10530 JOHN W ELLIOTT DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750332013",
"telephone_number": "214-734-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 TAYLOR DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751496957",
"telephone_number": "214-734-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYANWOLA",
"first_name": "ADEBIMPE",
"name_prefix": "Dr.",
"credential": "PHARM,D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.