NPIMap

Individual provider Active NPI

Omolara Adewunmi Adenikinju

  • Pharmacist
  • Lanham, MD
National Provider Identifier
1114528239
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH14485 Issued in MD
Practice address
10515 Greenbelt Rd
Lanham, MD 20706-2213
Phone
(301) 666-1181
Fax
(844) 411-6304
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
PH14485MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Giant of Maryland LLC PastSince Nov 8, 2020 Accepting new patients
Giant of Maryland LLC PastSince Nov 8, 2020 Accepting new patients

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH14485 MD Primary

Addresses

Primary practice location

10515 Greenbelt Rd
Lanham, MD 20706-2213

Mailing address

10515 Greenbelt Rd
Lanham, MD 20706-2213
Phone (301) 666-1181

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1114528239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 GREENBELT RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062213",
            "telephone_number": "301-666-1181",
            "fax_number": "844-411-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 GREENBELT RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062213",
            "telephone_number": "301-666-1181",
            "fax_number": "844-411-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIKINJU",
        "first_name": "OMOLARA",
        "middle_name": "ADEWUNMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "PH14485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.