Active NPI
Ademola I Palmer I, PHARMD
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1942051909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125860
- Practice address
- 2001 Robert St S
Saint Paul, MN 55118-3924 - Phone
- (651) 451-1113
- NPI assigned
- Mar 28, 2024
- Last updated
- Mar 28, 2024
- Sex
- Male
- 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 | 125860 | MN | Primary |
Addresses
Primary practice location
2001 Robert St S
Saint Paul, MN 55118-3924
Mailing address
2001 Robert St S
Saint Paul, MN 55118-3924
Phone (651) 451-1113
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 |
|---|---|---|---|
| 125860 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "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": []
}Other providers in Saint Paul, MN
Sources for this page
- 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.