Ridwan O Adepoju, PHARMD

Individual provider Active NPI Ambulatory Care Pharmacist · Springfield, MO

NPI 1366319964 · NPPES record last updated Oct 20, 2025

Key facts

NPI
1366319964
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Pharmacist 1835P2201X
License
2025044671 (MO)
Practice address
1001 E Primrose St
Springfield, MO 65807-5155
Phone
(417) 875-2743
NPI assigned
Oct 20, 2025
Sex
Male
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI04328600NJMDPharmacist
2025044671MOMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 2025044671 MO Yes
Pharmacist 183500000X 28RI04328600 NJ

Addresses

Primary practice location

1001 E Primrose St
Springfield, MO 65807-5155

Mailing address

1001 E Primrose St
Springfield, MO 65807-5155
Phone (417) 875-2743

Other providers in Springfield, MO

All providers in Springfield, MO · Ambulatory Care Pharmacist in Missouri

Sources for this page

Verify at the official NPI Registry.