Ademola I Palmer I, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

125860 Issued in MN

Practice address

2001 Robert St S
Saint Paul, MN 55118-3924

Phone

(651) 451-1113

NPI assigned

Mar 28, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • West St Paul, MN
  • NPI 1124133269
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1942051909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ROBERT ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183924",
            "telephone_number": "651-451-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ROBERT ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183924",
            "telephone_number": "651-451-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ADEMOLA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Palahniuk, MD
• Janet Palas
• Chris Palaskas, M.D.
• Misbah Y Palla, MD
• Amy Pallo
• Brian Alan Palmer, MD, MPH
• Cassandra Palmer, MD
• Mark A Palmer, M.D.
• Julie Palmquist, RPH
• Maja Palmquist

• Pharmacist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.