Olusegun B Adeyemo
Pharmacist in Irvington, New Jersey
1881045987- Practice location
- 1200 Clinton Ave, Irvington, NJ 07111-2070
- Phone
- 973-375-3211
- Fax
- 973-375-7063
- Last updated
- November 2, 2022
Olusegun Bola Adeyemo is a Pharmacist based in Irvington, NJ. Olusegun Bola Adeyemo practices in Irvington, NJ. The NPI Number for Olusegun Bola Adeyemo is 1881045987 and holds a License No. 28ri02908500 (NJ). The current practice location address for Olusegun Bola Adeyemo is 1200 Clinton Ave, Irvington, NJ 07111-2070 and can be reached out via phone at 973-375-3211 and via fax at 973-375-7063.
Provider Profile Details
- NPI Number
- 1881045987
- Provider Name
- Olusegun Bola Adeyemo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1200 Clinton Ave, Irvington, NJ 07111-2070
- Phone Number
- 973-375-3211
- Fax Number
- 973-375-7063
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Other Names
- Mr. Olusegun Bola Adeyemo (Professional Name)
- Provider Enumeration Date
- June 29, 2016
- Last Update Date
- November 2, 2022
- Certification Date
- November 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 Clinton Ave
Irvington, NJ 07111-2070 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-2070
- Phone Number
- 973-375-3211
- Fax Number
- 973-375-7063
Provider Business Mailing Address Details
- Address
- 240 Millburn Ave Apt A
Millburn, NJ 07041-1727 - City
- Millburn
- State
- NJ
- Zip
- 07041-1727
- Phone Number
- 201-674-9612
License Information
- License Number
- 28ri02908500
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Olusegun B Adeyemo?
The NPI number of Olusegun B Adeyemo is 1881045987. It was assigned on June 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Olusegun B Adeyemo?
Olusegun B Adeyemo is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri02908500.
Where does Olusegun B Adeyemo practice?
The practice location is 1200 Clinton Ave, Irvington, NJ 07111-2070. The office can be reached at 973-375-3211 (phone) or 973-375-7063 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881045987 directly on the NPPES registry website.