Individual provider Active NPI

Adeshina Shon Bamigbade

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1730411356
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
037251 Issued in NY
Practice address
799 Allerton Ave
Bronx, NY 10467
Phone
(718) 547-7600
Fax
(718) 547-7606
NPI assigned
Feb 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 037251 NY Primary

Addresses

Primary practice location

799 Allerton Ave
Bronx, NY 10467

Mailing address

37 Laguna LN
Staten Island, NY 10303-2482
Phone (347) 419-4345

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

LicenseStateTypeSpecialty
037251NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmville Pharmacy Current Accepting new patients

Locations

799 Allerton Ave
Bronx, NY 10467
Phone (718) 547-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1730411356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LAGUNA LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032482",
            "telephone_number": "347-419-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-547-7600",
            "fax_number": "718-547-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMIGBADE",
        "first_name": "ADESHINA",
        "middle_name": "SHON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-07",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.