Netochi Adeolokun, PHARM.D
Individual provider Active NPI Pharmacist · Reno, NV
NPI 1225575418 · NPPES record last updated Jan 25, 2017
Key facts
- NPI
- 1225575418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19328 (NV)
- Practice address
- 1055 S Wells Ave
Reno, NV 89502-2550 - Phone
- (775) 336-3035
- NPI assigned
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19328 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19328 | NV | Yes |
Addresses
Primary practice location
1055 S Wells Ave
Reno, NV 89502-2550
Mailing address
1195 Selmi Dr Unit B305
Reno, NV 89512-7702
Phone (410) 497-4394
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.