Active NPI
Adeyinka Ajayi
- Pharmacist
- Bohemia, NY
National Provider Identifier
1992958433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043394
- Practice address
- 4621 Sunrise Hwy
Bohemia, NY 11716-4605 - Phone
- (631) 567-1061
- Fax
- (631) 218-0720
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 28, 2008
- 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 | 043394 | NY | Primary |
Addresses
Primary practice location
4621 Sunrise Hwy
Bohemia, NY 11716-4605
Mailing address
1358 Nelson Ave
North Baldwin, NY 11510-1023
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043394 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJ Pharmacy Inc | Current | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 3
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": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1992958433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1358 NELSON AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 SUNRISE HWY",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117164605",
"telephone_number": "631-567-1061",
"fax_number": "631-218-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAYI",
"first_name": "ADEYINKA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.