Individual provider Active NPI

Yetunde Aloba

  • Pharmacist
  • Hermitage, TN
National Provider Identifier
1346846094
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000037164 Issued in TN
Practice address
400 Tulip Grove Rd
Hermitage, TN 37076-1750
Phone
(615) 391-0151
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0000037164 TN Primary

Addresses

Primary practice location

400 Tulip Grove Rd
Hermitage, TN 37076-1750

Mailing address

1600 Hartman Plantation Cir
Lebanon, TN 37090-1041

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Walgreens
CONNECT URL walgreens

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000037164TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1346846094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARTMAN PLANTATION CIR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370901041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TULIP GROVE RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761750",
            "telephone_number": "615-391-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOBA",
        "first_name": "YETUNDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000037164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walgreens",
            "affiliation": "N",
            "address_1": "400 Tulip Grove Rd",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370761750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walgreens",
            "affiliation": "N",
            "address_1": "400 Tulip Grove Rd",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370761750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.