Adeyinka T Adebamiro

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481770 Issued in PA

Legal business name

ADEYINKA T ADEBAMIRO

Doing business as

Ata Pharmacy

Practice address

5915 N Broad St
Philadelphia, PA 19141-1801

Phone

(215) 424-1966

Fax

(215) 549-2499

NPI assigned

Jan 2, 2008

Last updated

Apr 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adeyinka Adebamiro

Title

Owner

Phone

(215) 424-1966

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ATA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1548445117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411801",
            "telephone_number": "215-424-1966",
            "fax_number": "215-549-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEYINKA T ADEBAMIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "ADEBAMIRO",
        "authorized_official_first_name": "ADEYINKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-424-1966"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3989627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Babatunde Abayomi Adetunji, MD
• Oluwaseyi Adeuyan
• Idayat Adewunmi, PHARMD
• Bola Adeyemi
• Hassan Ayobami Adeyemo
• Abiodun O Adiasor
• Adam Adika, MD
• Terry Alayne Adirim, M.D., M.P.H.
• Gloria Adjabeng
• Esther Abena Adjei, M.D.

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.