Active NPI
Akorede Dada
- Oncology Pharmacist
- Flossmoor, IL
National Provider Identifier
1689305351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 051299944
- Practice address
- 19550 Governors Hwy Ste 3300
Flossmoor, IL 60422-2125 - Phone
- (708) 915-7471
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026137A | IN | |
| Oncology Pharmacist | 1835X0200X | 051299944 | IL | Primary |
Addresses
Primary practice location
19550 Governors Hwy Ste 3300
Flossmoor, IL 60422-2125
Mailing address
351 E Eastgate PL
Chicago, IL 60616-5503
Phone (773) 991-6041
Other practice location 1
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 834-2285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051299944 | Other | IL | ILLINOIS BOARD OF PHARMACY |
| 26026137A | Other | IN | INDIANA BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EpicHyperspace |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26026137A | IN | MD | Pharmacist |
| 051299944 | IL | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1689305351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 E EASTGATE PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165503",
"telephone_number": "773-991-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 GOVERNORS HWY STE 3300",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222125",
"telephone_number": "708-915-7471"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "773-834-2285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DADA",
"first_name": "AKOREDE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2025-01-13",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026137A",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "IL",
"license": "051299944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS BOARD OF PHARMACY",
"identifier": "051299944",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA BOARD OF PHARMACY",
"identifier": "26026137A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EpicHyperspace",
"affiliation": "N",
"address_1": "19550 Governors Hwy Ste 3300",
"city": "Flossmoor",
"state": "IL",
"country_code": "US",
"postal_code": "604222125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.