Individual provider Active NPI

Olajumoke Amuwo

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1013414689
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23905 Issued in MD
Practice address
2300 Garrison Blvd Ste 200
Baltimore, MD 21216-2309
Phone
(410) 233-7000
Fax
(410) 233-7002
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 23905 MD
Community/Retail Pharmacy 3336C0003X 23905 MD Primary

Addresses

Primary practice location

2300 Garrison Blvd Ste 200
Baltimore, MD 21216-2309

Mailing address

2300 Garrison Blvd Ste 200
Baltimore, MD 21216-2309
Phone (410) 233-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1013414689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162309",
            "telephone_number": "410-233-7000",
            "fax_number": "410-233-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162309",
            "telephone_number": "410-233-7000",
            "fax_number": "410-233-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUWO",
        "first_name": "OLAJUMOKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "23905",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "23905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.