Active NPI
Folasade Adeyemi Johnson, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1790968626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048503
- Practice address
- 1679 Bedford Ave
Brooklyn, NY 11225-2601 - Phone
- (718) 282-7476
- NPI assigned
- Dec 13, 2007
- 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 | 048503 | NY | Primary |
Addresses
Primary practice location
1679 Bedford Ave
Brooklyn, NY 11225-2601
Mailing address
1255 E 88TH St
Brooklyn, NY 11236-4915
Phone (347) 702-6196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01692066 | Medicaid | NY |
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 |
|---|---|---|---|
| 048503 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1790968626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 E 88TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364915",
"telephone_number": "347-702-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1679 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112252601",
"telephone_number": "718-282-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "FOLASADE",
"middle_name": "ADEYEMI",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01692066",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.