Adebowale Adenupebi

Individual provider Active NPI Pharmacy Technician · College Park, MD

NPI 1245844158 · NPPES record last updated Sep 8, 2020

Key facts

NPI
1245844158
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
T11584 (MD)
Practice address
9901 Rhode Island Ave
College Park, MD 20740-1424
Phone
(301) 345-3400
Fax
(301) 345-2444
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T11584MDMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnes Healthcare Marketing Inc Past
since Sep 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T11584 MD Yes

Addresses

Primary practice location

9901 Rhode Island Ave
College Park, MD 20740-1424

Mailing address

9901 Rhode Island Ave
College Park, MD 20740-1424

Other providers in College Park, MD

All providers in College Park, MD · Pharmacy Technician in Maryland

Sources for this page

Verify at the official NPI Registry.