Wuraola Olubunmi Idowu Ajibade, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19479 Issued in GA

Practice address

4694 Forsyth Rd
Rite Aid
Macon, GA 31210-4420

Phone

(478) 474-3077

Fax

(478) 474-1759

NPI assigned

Mar 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wuraola Olubunmi Idowu Ajayi-Ajibade Professional name

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1295034783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4694 FORSYTH RD",
            "address_2": "RITE AID",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104420",
            "telephone_number": "478-474-3077",
            "fax_number": "478-474-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4694 FORSYTH RD",
            "address_2": "RITE AID",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104420",
            "telephone_number": "478-474-3077",
            "fax_number": "478-474-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIBADE",
        "first_name": "WURAOLA",
        "middle_name": "OLUBUNMI IDOWU",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "19479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1659470821",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WURAOLA",
            "last_name": "AJAYI-AJIBADE",
            "middle_name": "OLUBUNMI IDOWU",
            "credential": "R.PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Umme Salma Ahsan, DO
• Aica Clinics - Macon PC
• Aica Orthopedics P.C.
• Kelly S Aikens, NP
• Caleb Duro Ajibade, MD
• Mohammed Ajjan
• Folarera Olanike Ajose-Adeogun, DDS
• Michelle Ajumobi, MD
• Sarah Akbani
• Farooq Akbar, MD

• All providers in Macon, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.