Adebola U Erogbogbo, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051300876 Issued in IL

Practice address

5900 N 2ND St
Loves Park, IL 61111-4647

Phone

(815) 282-2077

NPI assigned

Oct 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Loves Park, IL
  • NPI 1437164654
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1336650803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N 2ND ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114647",
            "telephone_number": "815-282-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N 2ND ST",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114647",
            "telephone_number": "815-282-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROGBOGBO",
        "first_name": "ADEBOLA",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chimdindu Okechukwu Emeka-Emeh, MD
• Lowell Dean Enser, M.D.
• Akpevwoghene Victor Erhiano, MD
• Eric Marnul Optometry Inc
• Mary Erickson
• Faith Moves Mountains Counseling and Therapy LLC
• Sammy A. Farag, M.D.
• Zachary Farson, PT, DPT
• Samreen Fatima, MD
• Esther R Feder, CRNA

• Pharmacist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.