Adebusola Elena Abiola

Individual provider Active NPI Pharmacist · Orange, CA

NPI 1376423327 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1376423327
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
91199 (CA)
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-7890
NPI assigned
Sep 2, 2025
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

LicenseStateTypeSpecialty
91199CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 91199 CA Yes

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

1235 W Town and Country Rd Apt 2230
Orange, CA 92868-4629

Other providers in Orange, CA

All providers in Orange, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.