Olusegun Bola Adeyemo

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02908500 Issued in NJ

Practice address

1200 Clinton Ave
Irvington, NJ 07111-2070

Phone

(973) 375-3211

Fax

(973) 375-7063

NPI assigned

Jun 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Olusegun Bola Adeyemo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellness Plus LLC

  dba wellness plus pharmacy

  • Pharmacy
  • Irvington, NJ
  • NPI 1225574742
  NPD Authorized official
• Wellness Plus LLC

  • Pharmacy
  • Irvington, NJ
  • NPI 1831806249
  NPD Authorized official

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1881045987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MILLBURN AVE APT A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411727",
            "telephone_number": "201-674-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070",
            "telephone_number": "973-375-3211",
            "fax_number": "973-375-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "OLUSEGUN",
        "middle_name": "BOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02908500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUSEGUN",
            "last_name": "ADEYEMO",
            "middle_name": "BOLA",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christiana Abara
• Maged F Abdelmalak
• Mustafa Shakir Abdus-Salaam, MHS-C, LCADC, LPC
• Adepeju I Adaramola
• Adekunle Adeoti, MD
• Ehimwenma Adeyin, ED.S
• Michael Osas Adeyin, MA, EDS
• Victoria Adeyinka
• Priscilla D Adu-Antoh, LPC
• Adult Integrated Medical and Psychiatric Care Consult.

• Pharmacist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.