Active NPI
Charles O Aladesanmi
- Pharmacist
- Tolleson, AZ
National Provider Identifier
1508110107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019093
- Practice address
- 500 S 99TH Ave
Tolleson, AZ 85353-9700 - Phone
- (623) 478-5506
- NPI assigned
- Nov 4, 2012
- Last updated
- Nov 4, 2012
- Sex
- Male
- 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 | S019093 | AZ | Primary |
Addresses
Primary practice location
500 S 99TH Ave
Tolleson, AZ 85353-9700
Mailing address
11203 S Frontage Rd
Yuma, AZ 85367-7875
Phone (928) 308-1922
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 |
|---|---|---|---|
| S019093 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savelife Mobility Services LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Chandler, AZ
- NPI 1447114830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351987200000",
"number": "1508110107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11203 S FRONTAGE RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677875",
"telephone_number": "928-308-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S 99TH AVE",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853539700",
"telephone_number": "623-478-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALADESANMI",
"first_name": "CHARLES",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-04",
"last_updated": "2012-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolleson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.