Omodele Obadina, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

21979 Issued in MD

Practice address

9719 Traville Gateway Dr
Rockville, MD 20850-7408

Phone

(301) 315-1460

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1063290542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 CULLINGWORTH RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208663116",
            "telephone_number": "918-376-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 TRAVILLE GATEWAY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507408",
            "telephone_number": "301-315-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBADINA",
        "first_name": "OMODELE",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "21979",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "21979",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann O'Neil, CRNP
• Rebecca Ann O'Neill, LGSW
• Oasis Rockville, LLC
• Oasis Women'S Center LLC
• Oluwatimileyin Adewale Obadina
• Yesenia Obando
• Mablean Oben-Tiku
• Grace Obeng Antwi
• Akua Baawa Obeng, DPT
• Maribel Racho Obenza, O.D.

• Pharmacist in Rockville, MD
• Providers in Rockville, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.