Adeyinka Ajayi
Individual provider Active NPI Pharmacist · Bohemia, NY
NPI 1992958433 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1992958433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 043394 (NY)
- Practice address
- 4621 Sunrise Hwy
Bohemia, NY 11716-4605 - Phone
- (631) 567-1061
- Fax
- (631) 218-0720
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043394 | NY | Yes |
Addresses
Primary practice location
4621 Sunrise Hwy
Bohemia, NY 11716-4605
Mailing address
1358 Nelson Ave
North Baldwin, NY 11510-1023
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.