Benita Adejoke Bamgbade, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

50681 Issued in TX

Practice address

5700 Overton Ridge Blvd
T-1770
Fort Worth, TX 76132-3220

Phone

(817) 423-1611

Fax

(817) 423-1611

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1598048795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 OVERTON RIDGE BLVD",
            "address_2": "T-1770",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323220",
            "telephone_number": "817-423-1611",
            "fax_number": "817-423-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 OVERTON RIDGE BLVD",
            "address_2": "T-1770",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323220",
            "telephone_number": "817-423-1611",
            "fax_number": "817-423-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMGBADE",
        "first_name": "BENITA",
        "middle_name": "ADEJOKE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olusola Elizabeth Balogun, M.D.
• Sharon Jean Balsley, CRNA
• Anand J Balson, M.D.
• Esperanza Marie Baltierra
• Terry T Balzer, RPH
• Teffanie Lila Banat, PT
• Banc Management & Services
• Holly Bancroft, PMHNP-BC
• Brenda Natalia Banda, DO
• Gargeyi Bandaru, MD

• All providers in Fort Worth, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.