Active NPI
Adeola Edema
- Pharmacist
- Clovis, CA
National Provider Identifier
1710262407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63688
- Practice address
- 604 N Magnolia Ave Ste 105
Clovis, CA 93611-9205 - Phone
- (559) 375-1241
- NPI assigned
- Oct 13, 2011
- Last updated
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63688 | CA | Primary |
Addresses
Primary practice location
604 N Magnolia Ave Ste 105
Clovis, CA 93611-9205
Mailing address
3338 Duncan Ave
Clovis, CA 93619-5007
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 |
|---|---|---|---|
| 63688 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Specialty Pharmacy LLC | Current | Accepting new patients |
Locations
604 N Magnolia Ave
Ste 105
Clovis, CA 93611
Phone (302) 229-5481
Interoperability endpoints
- adeola.edema@esp-ca.direct.office.nextgen.com
Organizations & group practices 1
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": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1710262407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3338 DUNCAN AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936195007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N MAGNOLIA AVE STE 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936119205",
"telephone_number": "559-375-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEMA",
"first_name": "ADEOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
- Dycora Transitional Health - Clovis LLC
- Dynamic Kids, Inc. (Dynamic Kids Pediatric Physical Therapy)
- Eastwest Pain & Healing Institute LLC
- Dawn Elaine Eberlein, LVN
- Jose Hugo Echeverria Jr.
- Stacy Evan Efird, R.D.
- Efema Pamela Eguaibor -Nwajei, DDS
- Glenn Girard Eichhorn, PHARM.D.
- Dana Ek, ATC
- Ifeatu Ekelem, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.