Individual provider Active NPI

Adefolake Tolulope Ojemuyiwa, RPH

  • Pharmacist
  • Forest Park, GA
National Provider Identifier
1386233948
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
022970 Issued in GA
Practice address
541 Forest Pkwy Ste 4
Forest Park, GA 30297-2147
Phone
(404) 600-5666
NPI assigned
Jan 18, 2021
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 022970 GA Primary

Addresses

Primary practice location

541 Forest Pkwy Ste 4
Forest Park, GA 30297-2147

Mailing address

PO Box 43701
Atlanta, GA 30336-0701
Phone (404) 600-5666

Other identifiers 1

IdentifierTypeStateIssuer
003154268AMedicaidGA

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
022970GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayton Pharmacy LLC CurrentSince Jan 24, 2021 Accepting new patients
Kayton Pharmacy LLC CurrentSince Jan 24, 2021 Accepting new patients

Locations

541 Forest Pkwy
Ste 4
Forest Park, GA 30297
Phone (404) 600-5666

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1386233948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43701",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303360701",
            "telephone_number": "404-600-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY STE 4",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972147",
            "telephone_number": "404-600-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEMUYIWA",
        "first_name": "ADEFOLAKE",
        "middle_name": "TOLULOPE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "022970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003154268A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.