Adedipupo Oluwaseun King, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302046307 Issued in MI

Practice address

848 S Kalamazoo St
Paw Paw, MI 49079-9230

Phone

(269) 657-4984

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Paw Paw, MI
  • NPI 1720225618
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1447852496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 S KALAMAZOO ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799230",
            "telephone_number": "269-657-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 S KALAMAZOO ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799230",
            "telephone_number": "269-657-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ADEDIPUPO",
        "middle_name": "OLUWASEUN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302046307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn James Kern, M.D.
• Victor Kesselly Jr., LLMSW
• Kristopher Casey Ketchum, CERTIFIED PEDORTHIST
• Naji M Khairallah, MD
• Martina Morkos Khalil, RPH
• Britt Deanne Kirchinger, OT
• Kathleen Ann Klinkner, MA LLP
• Julia R Koestner, NP
• Paul Marcus Kolon, LMSW
• Debra Lynn Koning, MSW

• Pharmacist in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.