Active NPI
Adenike Adebomojo
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1558635367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26022701A
- Practice address
- 1635 E Southport Rd
Indianapolis, IN 46227-5213 - Phone
- (317) 879-5514
- Fax
- (317) 879-5824
- NPI assigned
- Feb 27, 2012
- Last updated
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 26022701A | IN | Primary |
Addresses
Primary practice location
1635 E Southport Rd
Indianapolis, IN 46227-5213
Mailing address
1635 E Southport Rd
Indianapolis, IN 46227-5213
Phone (317) 879-5514
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SOUTHPORTRX@GMAIL.COM |
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 |
|---|---|---|---|
| 26022701A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mycare RX LLC | Current | Accepting new patients | |
| Mycare RX LLC | Current | 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": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1558635367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 E SOUTHPORT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462275213",
"telephone_number": "317-879-5514",
"fax_number": "317-879-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 E SOUTHPORT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462275213",
"telephone_number": "317-879-5514",
"fax_number": "317-879-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEBOMOJO",
"first_name": "ADENIKE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26022701A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SOUTHPORTRX@GMAIL.COM",
"affiliation": "N",
"address_1": "1635 E Southport Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462275213",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.