Emmanuel A Bajulaiye

Primary specialty

PharmacistTaxonomy code 183500000X

License

11311 Issued in MD

Practice address

4259 Park Heights Ave
Baltimore, MD 21215-6740

Phone

(410) 466-8001

Fax

(410) 466-8304

NPI assigned

May 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Park Lane Pharmacy

  dba Park Lane Pharmacy Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1013072446
  NPD (past) Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1235795576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 AMBER OAKS WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175162",
            "telephone_number": "301-237-6981",
            "fax_number": "410-466-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156740",
            "telephone_number": "410-466-8001",
            "fax_number": "410-466-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJULAIYE",
        "first_name": "EMMANUEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurea Q Baisas-Arce, CRNP
• Terry Baisden
• Anmoldeep Singh Bajaj, M.D.
• Bhavandeep Singh Bajaj, M.D.
• Divyansh Bajaj, MD
• Haseeb Bajwa, DO
• Nayyab Bajwa
• Adnan M Bakar, MD
• Hawau T Bakare
• Lutalo Nia Bakari, LCSW-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.