Folasade Funmilayo Adelugba
Individual provider Active NPI Pharmacist · Albany, NY
NPI 1285701441 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285701441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 047884-1 (NY)
- Practice address
- 113 Holland Ave
Albany, NY 12208-3410 - Phone
- (518) 626-5000
- Fax
- (518) 626-5743
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047884-1 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047884-1 | NY | Yes |
Addresses
Primary practice location
113 Holland Ave
Albany, NY 12208-3410
Mailing address
VA Medical Center
113 Holland Ave
Albany, Ny, NY 12208
Phone (518) 626-5000
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.