Active NPI
Andrea Adegoke, RPH
- Ambulatory Care Pharmacist
- Columbus, OH
National Provider Identifier
1386301893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 03441210
- Practice address
- 200 E Livingston Ave
Columbus, OH 43215-5715 - Phone
- (614) 227-0301
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 03441210 | OH | Primary |
Addresses
Primary practice location
200 E Livingston Ave
Columbus, OH 43215-5715
Mailing address
5196 Cimarron Heights Way Unit 106
Columbus, OH 43228-6060
Phone (919) 348-8090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Columbus |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03441210 | OH | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charitable Pharmacy of Central Ohio, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Columbus, OH
- NPI 1396060620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1386301893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5196 CIMARRON HEIGHTS WAY UNIT 106",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432286060",
"telephone_number": "919-348-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155715",
"telephone_number": "614-227-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEGOKE",
"first_name": "ANDREA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OH",
"license": "03441210",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Columbus",
"affiliation": "N",
"address_1": "200 E Livingston Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432155715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.