Individual provider Active NPI

Martins Adeogun, PHARMD

  • Pharmacist
  • Frederick, MD
National Provider Identifier
1275933426
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14188 Issued in MD
Practice address
402 S Jefferson St
Frederick, MD 21701-6208
Phone
(301) 663-4861
NPI assigned
Aug 25, 2014
Sex
Male
Sole proprietor
Yes

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
14188MDMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14188 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

402 S Jefferson St
Frederick, MD 21701-6208

Mailing address

402 S Jefferson St
Frederick, MD 21701-6208

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2014.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1275933426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S JEFFERSON ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S JEFFERSON ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016208",
            "telephone_number": "301-663-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOGUN",
        "first_name": "MARTINS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.