Active NPI
Prince Ayodele Adekoya Jr., PHARM.D
- Pharmacist
- Bladensburg, MD
National Provider Identifier
1992803118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15597
- Practice address
- 5403 Annapolis Rd
Bladensburg, MD 20710-2201 - Phone
- (301) 277-7107
- Fax
- (301) 277-7127
- NPI assigned
- Sep 20, 2006
- Last updated
- Dec 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 15597 | MD | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 15597 | MD | |
| Ambulatory Care Pharmacist | 1835P2201X | 15597 | MD | |
| Pharmacist | 183500000X | 15597 | MD | Primary |
Addresses
Primary practice location
5403 Annapolis Rd
Bladensburg, MD 20710-2201
Mailing address
16806 Sleepy Spring CT
Bowie, MD 20716-3501
Phone (240) 731-3766
Other practice location 1
5814 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (301) 637-2954
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15597 | Other | MD | LICENSE NUMBER |
| 15597 | Other | MD | PHARMACY LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@padekhealth.com | Direct |
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 |
|---|---|---|---|
| 15597 | MD | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Padek Holdings LLC | Current | Accepting new patients | |
| Padek Holdings LLC | Pharmacist | Current | Accepting new patients |
| Padek Healthcare Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Long Term Care Pharmacy
- Cheverly, MD
- NPI 1326912833
-
dba Padek Healthcare Pharmacy III
- Community/Retail Pharmacy
- Cheverly, MD
- NPI 1740161207
Pharmacist
-
dba Padek Healthcare Pharmacy
- Long Term Care Pharmacy
- Bladensburg, MD
- NPI 1205473519
-
dba Padek Healthcare Pharmacy II
- Community/Retail Pharmacy
- Hyattsville, MD
- NPI 1245720994
-
dba Padek Healthcare Pharmacy II
- Long Term Care Pharmacy
- Hyattsville, MD
- NPI 1649816661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1992803118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16806 SLEEPY SPRING CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163501",
"telephone_number": "240-731-3766",
"fax_number": "301-277-7127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5403 ANNAPOLIS RD",
"city": "BLADENSBURG",
"state": "MD",
"postal_code": "207102201",
"telephone_number": "301-277-7107",
"fax_number": "301-277-7127"
}
],
"practiceLocations": [
{
"address_1": "5814 Baltimore Ave",
"address_purpose": "LOCATION",
"city": "Hyattsville",
"state": "MD",
"postal_code": "207811623",
"country_code": "US",
"telephone_number": "301-637-2954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEKOYA",
"first_name": "PRINCE",
"middle_name": "AYODELE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MD",
"license": "15597",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "15597",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MD",
"license": "15597",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "15597",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "15597",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@padekhealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5403 Annapolis Rd",
"city": "Bladensburg",
"state": "MD",
"country_code": "US",
"postal_code": "207102201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bladensburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.