Individual provider Active NPI

Ademola Adekunle, PHARM.D

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1598092496
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44727 Issued in TX
Practice address
3809 E Belknap St
Fort Worth, TX 76111-6013
Phone
(817) 834-7283
Fax
(817) 834-9868
NPI assigned
Nov 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44727 TX Primary

Addresses

Primary practice location

3809 E Belknap St
Fort Worth, TX 76111-6013

Mailing address

3809 E Belknap St
Fort Worth, TX 76111-6013
Phone (817) 834-7283

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

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1598092496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 E BELKNAP ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116013",
            "telephone_number": "817-834-7283",
            "fax_number": "817-834-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 E BELKNAP ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116013",
            "telephone_number": "817-834-7283",
            "fax_number": "817-834-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKUNLE",
        "first_name": "ADEMOLA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.