Individual provider Active NPI

Michael Oyewole, PHARM.D.

  • Pharmacist
  • Oxon Hill, MD
National Provider Identifier
1144765967
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24395 Issued in MD
Practice address
20 Audrey LN
Oxon Hill, MD 20745-1301
Phone
(301) 839-3714
NPI assigned
Jan 3, 2017
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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 24395 MD Primary

Addresses

Primary practice location

20 Audrey LN
Oxon Hill, MD 20745-1301

Mailing address

20 Audrey LN
Oxon Hill, MD 20745-1301
Phone (301) 839-3714

Other practice location 1

423 E North Ave
Baltimore, MD 21202-5915
Phone (410) 385-3188

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Michael.Oyewole@Giantfood.com GIANT OF MARYLAND LLC
Direct Messaging Address Michael.Oyewole@Giantfood.com GIANT OF MARYLAND LLC

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
24395MDMDPharmacist

Interoperability endpoints

  • Direct secure messaging: michael.oyewole@giantfood.com

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1144765967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AUDREY LN",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451301",
            "telephone_number": "301-839-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AUDREY LN",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451301",
            "telephone_number": "301-839-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025915",
            "country_code": "US",
            "telephone_number": "410-385-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEWOLE",
        "first_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "24395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michael.Oyewole@Giantfood.com",
            "affiliation": "Y",
            "affiliationName": "GIANT OF MARYLAND LLC",
            "address_1": "20 Audrey Ln",
            "city": "Oxon Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207451301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michael.Oyewole@Giantfood.com",
            "affiliation": "Y",
            "affiliationName": "GIANT OF MARYLAND LLC",
            "address_1": "20 Audrey Ln",
            "city": "Oxon Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207451301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.