Active NPI
Bamidele Olubusola Kalejaiye, PHARMD
- Pharmacist
- Laurel, MD
National Provider Identifier
1154562460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202205464
- Practice address
- 316 Talbott Ave
Laurel, MD 20707-4334 - Phone
- (240) 554-0310
- NPI assigned
- Mar 16, 2009
- Last updated
- Mar 16, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15679 | MD | |
| Pharmacist | 183500000X | 0202205464 | VA | Primary |
| Pharmacist | 183500000X | PH100000192 | DC |
Addresses
Primary practice location
316 Talbott Ave
Laurel, MD 20707-4334
Mailing address
411 Stevenson LN
Hyattsville, MD 20785-4643
Phone (202) 285-7371
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15679 | MD | MD | Clinical Social Worker |
| PH100000192 | DC | MD | Pharmacist |
| 0202205464 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mednovations Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialty Pharmacy
- Laurel, MD
- NPI 1295777076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1154562460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 STEVENSON LN",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207854643",
"telephone_number": "202-285-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 TALBOTT AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074334",
"telephone_number": "240-554-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALEJAIYE",
"first_name": "BAMIDELE",
"middle_name": "OLUBUSOLA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15679",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202205464",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.