Active NPI
Olutoyin Fatukasi
- Pharmacist
- Hanover, MD
National Provider Identifier
1073896007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18250
- Practice address
- 7077 Arundel Mills Cir
Hanover, MD 21076-1387 - Phone
- (410) 379-3102
- Fax
- (410) 379-3121
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18250 | MD | Primary |
Addresses
Primary practice location
7077 Arundel Mills Cir
Hanover, MD 21076-1387
Mailing address
7077 Arundel Mills Cir
Hanover, MD 21076-1387
Phone (410) 379-3102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18250 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073896007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7077 ARUNDEL MILLS CIR",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761387",
"telephone_number": "410-379-3102",
"fax_number": "410-379-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7077 ARUNDEL MILLS CIR",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761387",
"telephone_number": "410-379-3102",
"fax_number": "410-379-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATUKASI",
"first_name": "OLUTOYIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.