Individual provider Active NPI

Adebola Oluwatoyosi Fatimilehin, PHARMD

  • Pharmacist
  • Ocala, FL
National Provider Identifier
1689281446
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS55830 Issued in FL
Practice address
474 SW 17TH St
Ocala, FL 34471-8107
Phone
(352) 368-1886
Fax
(352) 368-2719
NPI assigned
Sep 25, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 PS55830 FL Primary

Addresses

Primary practice location

474 SW 17TH St
Ocala, FL 34471-8107

Mailing address

474 SW 17TH St
Ocala, FL 34471-8107
Phone (352) 368-1886

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
PS55830FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 27, 2020 Accepting new patients
Walgreen Co PastSince Sep 27, 2020 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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1689281446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718107",
            "telephone_number": "352-368-1886",
            "fax_number": "352-368-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718107",
            "telephone_number": "352-368-1886",
            "fax_number": "352-368-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMILEHIN",
        "first_name": "ADEBOLA",
        "middle_name": "OLUWATOYOSI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

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