Active NPI
Abimbola K Ogedengbe
- Pharmacist
- Highland Park, IL
National Provider Identifier
1437869971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051304870
- Practice address
- 777 Park Ave W
Highland Park, IL 60035-2433 - Phone
- (847) 926-4069
- NPI assigned
- Nov 23, 2022
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051304870 | IL | Primary |
Addresses
Primary practice location
777 Park Ave W
Highland Park, IL 60035-2433
Mailing address
3301 Beacon St Unit 72
North Chicago, IL 60064-3424
Phone (773) 754-6257
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Aogedengbe@northshore.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051304870 | IL | MD | Pharmacist |
Interoperability endpoints
- aogedengbe@northshore.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1437869971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 BEACON ST UNIT 72",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643424",
"telephone_number": "773-754-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 PARK AVE W",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352433",
"telephone_number": "847-926-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGEDENGBE",
"first_name": "ABIMBOLA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051304870",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Aogedengbe@northshore.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "777 Park Ave W",
"city": "Highland Park",
"state": "IL",
"country_code": "US",
"postal_code": "600352433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.