Active NPI
Adesola Ebolum, PHARM D.
- Pharmacist
- Bessemer, AL
National Provider Identifier
1891803615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14650
- Practice address
- 2910 Morgan Rd Ste 128
Bessemer, AL 35022-6476 - Phone
- (205) 425-2828
- NPI assigned
- Aug 29, 2006
- 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 | 14650 | AL | Primary |
Addresses
Primary practice location
2910 Morgan Rd Ste 128
Bessemer, AL 35022-6476
Mailing address
154 Cahaba Falls LN
Helena, AL 35080-7106
Phone (205) 621-3612
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14650 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891803615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 CAHABA FALLS LN",
"city": "HELENA",
"state": "AL",
"postal_code": "350807106",
"telephone_number": "205-621-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 MORGAN RD STE 128",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350226476",
"telephone_number": "205-425-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBOLUM",
"first_name": "ADESOLA",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.