Provider Demographics
NPI:1285073312
Name:MAKINDE, AKINWUNMI JOHN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AKINWUNMI
Middle Name:JOHN
Last Name:MAKINDE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 TUCKER ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5133
Mailing Address - Country:US
Mailing Address - Phone:646-938-9993
Mailing Address - Fax:
Practice Address - Street 1:56 TUCKER ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5133
Practice Address - Country:US
Practice Address - Phone:646-938-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057922-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist