Active NPI
Adedapo Adedayo
- Pharmacist
- Palm Desert, CA
National Provider Identifier
1508354259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH66855
- Practice address
- 72314 Highway 111
Palm Desert, CA 92260-2747 - Phone
- (760) 469-3441
- NPI assigned
- Apr 27, 2018
- Last updated
- Apr 27, 2018
- 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 | RPH66855 | CA | Primary |
Addresses
Primary practice location
72314 Highway 111
Palm Desert, CA 92260-2747
Mailing address
33618 Emerson Way Unit a
Temecula, CA 92592-5352
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 |
|---|---|---|---|
| RPH66855 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1508354259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33618 EMERSON WAY UNIT A",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72314 HIGHWAY 111",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602747",
"telephone_number": "760-469-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEDAYO",
"first_name": "ADEDAPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH66855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.