DR. OLUBUNMI ADENIYI (NPI# 1720689219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720689219 |
| Entity Type | Individual |
| Full Name | DR. OLUBUNMI ADENIYI |
| Credential | PHARMACY |
| Practice Address |
524 Serene Waters Trl Jonesboro GA 30236-5495 |
| Practice Telephone | 4043721400 |
| Mailing Telephone | 4043721400 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH025715 | GA | Pharmacy Service Providers |
| Street Address |
524 SERENE WATERS TRL |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-5495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811493877 | James Blake Richardson | Pharmacist | 1112 Windover Rd, Jonesboro, AR 72401-6038 | 2018-03-30 |
| 1942727730 | Tyler Alan Soo | Pharmacist | 2822 East Nettleton Avenue, Jonesboro, AR 72401 | 2017-08-23 |
| 1972954550 | Purvis Glen Nash | Pharmacist | 700 Holley Dr, Jonesboro, LA 71251-3021 | 2016-06-25 |
| 1295195949 | Daniel James Irwin | Pharmacist | 6424 County Road 333, Jonesboro, AR 72401-0364 | 2016-02-23 |
| 1790155661 | Shewanda L Vines | Pharmacist | 7267 Tara Blvd, Jonesboro, GA 30236-1901 | 2015-10-04 |
| 1679978043 | Kristy Reed | Pharmacist | 1000-a East Matthews Ave., Jonesboro, AR 72401 | 2014-10-28 |
| 1750786257 | Melanie Weathers | Pharmacist | 1000 E Matthews Ave Ste A, Jonesboro, AR 72401-4344 | 2014-10-27 |
| 1588006167 | Mallory Morgan | Pharmacist | 2015 Harwood Dr, Jonesboro, AR 72404-9100 | 2013-07-23 |
| 1053751784 | Benjamin Brent Washam | Pharmacist | 992 Links Dr Apt 8, Jonesboro, AR 72404-0791 | 2013-06-26 |
| 1184063406 | Preston Jett Jones | Pharmacist | 325 Southwest Dr Ste A, Jonesboro, AR 72401-5854 | 2013-06-19 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.