Joy Adeyemo
Individual provider Active NPI Pharmacist · Highland, CA
NPI 1295331866 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1295331866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 82326 (CA)
- Practice address
- 27310 Baseline Street
Highland, CA 92346 - Phone
- (909) 851-8334
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 82326 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82326 | CA | Yes |
Addresses
Primary practice location
27310 Baseline Street
Highland, CA 92346
Mailing address
10901 Sinclair Street
Rancho Cucamonga, CA 91701
Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. 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.