Individual provider Active NPI

Tosin A Adelakun, PHARMD.

  • Pharmacist
  • West Columbia, SC
National Provider Identifier
1619584281
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42330 Issued in SC
Practice address
4500 12TH Street Ext
West Columbia, SC 29172-3025
Phone
(803) 462-5005
NPI assigned
Sep 28, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42330 SC Primary

Addresses

Primary practice location

4500 12TH Street Ext
West Columbia, SC 29172-3025

Mailing address

315 Bleeker LN
West Columbia, SC 29169-2457
Phone (678) 308-7492

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PHARMACY@NEPHRONPHARM.COM Direct

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
42330SCMDPharmacist

Interoperability endpoints

  • Direct secure messaging: pharmacy@nephronpharm.com

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1619584281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BLEEKER LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692457",
            "telephone_number": "678-308-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 12TH STREET EXT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291723025",
            "telephone_number": "803-462-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELAKUN",
        "first_name": "TOSIN",
        "middle_name": "A",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PHARMACY@NEPHRONPHARM.COM",
            "affiliation": "N",
            "endpointDescription": "PHARMACY EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All written interactions",
            "address_1": "4500 12th Street Ext",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291723025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.