Individual provider Active NPI

Adeboye O Oyegunle, PHARMD

  • Pharmacist
  • El Dorado Hills, CA
National Provider Identifier
1578041935
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76158 Issued in CA
Practice address
4400 Town Center Blvd
El Dorado Hills, CA 95762-7131
Phone
(916) 605-0185
NPI assigned
Jul 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76158 CA Primary

Addresses

Primary practice location

4400 Town Center Blvd
El Dorado Hills, CA 95762-7131

Mailing address

4400 Town Center Blvd
El Dorado Hills, CA 95762-7131
Phone (916) 605-0185

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
76158CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1578041935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 TOWN CENTER BLVD",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627131",
            "telephone_number": "916-605-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 TOWN CENTER BLVD",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627131",
            "telephone_number": "916-605-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEGUNLE",
        "first_name": "ADEBOYE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.