Ifedapo Michael Sonuga, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302034399 Issued in MI

Practice address

1919 Boston St SE
Grand Rapids, MI 49506-4160

Phone

(616) 252-7024

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891911624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 INDIAN BLFS NE",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493458487",
            "telephone_number": "616-887-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064160",
            "telephone_number": "616-252-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONUGA",
        "first_name": "IFEDAPO",
        "middle_name": "MICHAEL",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Melissa Sondheimer
• Charity Dawn Songer, RN
• Larry Lynn Sonksen, LMSW
• Kyle Mark Sonnabend, DO
• Katie Marie Sonneveldt, PA-C
• Sonus-USA, Inc.
• Kathryn Ann Sooter, PA-C
• Linda Louise Soper, D.C.
• Marcy Soper, TLLP
• Sophie a Werkhoven LLC

• Pharmacist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacist in Michigan

• 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.

Verify at the official NPI Registry.