Provider Demographics
NPI:1770227449
Name:ADENIYI, OLUWAYOMI (PHARMD)
Entity Type:Individual
Prefix:
First Name:OLUWAYOMI
Middle Name:
Last Name:ADENIYI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YOMI
Other - Middle Name:
Other - Last Name:ADENIYI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2244 HERING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1688 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-3010
Practice Address - Country:US
Practice Address - Phone:718-842-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY069001OtherNYS EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS