Active NPI
Ayotunde Oluwaseun Okusolubo, RPH
- Pharmacist
- Bowie, MD
National Provider Identifier
1285358028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28798
- Practice address
- 6920 Laurel Bowie Rd
Bowie, MD 20715-1710 - Phone
- (301) 262-8400
- NPI assigned
- Sep 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28798 | MD | Primary |
Addresses
Primary practice location
6920 Laurel Bowie Rd
Bowie, MD 20715-1710
Mailing address
11704 Backus Dr
Bowie, MD 20720-4450
Phone (240) 355-1720
Other practice location 1
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200 ext. 55888
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28798 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1285358028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11704 BACKUS DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204450",
"telephone_number": "240-355-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 LAUREL BOWIE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151710",
"telephone_number": "301-262-8400"
}
],
"practiceLocations": [
{
"address_1": "5401 Old Court Rd",
"address_purpose": "LOCATION",
"city": "Randallstown",
"state": "MD",
"postal_code": "211335103",
"country_code": "US",
"telephone_number": "410-521-2200 x55888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKUSOLUBO",
"first_name": "AYOTUNDE",
"middle_name": "OLUWASEUN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.