Individual provider Active NPI

Adeyemi Adesola, PHARMD

  • Pharmacist
  • Missouri City, TX
National Provider Identifier
1801583463
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70019 Issued in TX
Practice address
2710 FM 1092 Rd Ste E
Missouri City, TX 77459-5641
Phone
(832) 650-0364
Fax
(832) 650-0362
NPI assigned
Apr 24, 2023
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70019 TX Primary

Addresses

Primary practice location

2710 FM 1092 Rd Ste E
Missouri City, TX 77459-5641

Mailing address

1385 FM 359 Rd # 309
Richmond, TX 77406-2017

Other practice location 1

3727 Greenbriar Dr Ste 118
Stafford, TX 77477-3929
Phone (346) 874-7874

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
70019TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinkaid Medical Group Inc. Current Accepting new patients
Costus Medical Inc CurrentSince Jun 8, 2025 Accepting new patients
Costus Pharmaceuticals LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

2710 FM 1092 Rd
Ste E
Missouri City, TX 77459
Phone (832) 650-0364

1385 FM 359 Rd
#309
Richmond, TX 77406
Phone (832) 475-0007

3727 Greenbriar Dr
Ste 118
Stafford, TX 77477
Phone (832) 999-4827

Organizations & group practices 3

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1801583463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 FM 359 RD # 309",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 FM 1092 RD STE E",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595641",
            "telephone_number": "832-650-0364",
            "fax_number": "832-650-0362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 Greenbriar Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774773929",
            "country_code": "US",
            "telephone_number": "346-874-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESOLA",
        "first_name": "ADEYEMI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "70019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.