Individual provider Active NPI

Andrea Adegoke, RPH

  • Ambulatory Care Pharmacist
  • Columbus, OH
National Provider Identifier
1386301893
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
03441210 Issued in OH
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

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
03441210OHMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charitable Pharmacy of Central Ohio, Inc. PastSince Nov 21, 2021 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.

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.

Verify at the official NPI Registry.