Atinuke Adesunloro
Individual provider Active NPI Pharmacist · Severna Park, MD
NPI 1295148286 · NPPES record last updated Jun 6, 2014
Key facts
- NPI
- 1295148286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21951 (MD)
- Practice address
- 25 Jones Station Rd W
Severna Park, MD 21146-4200 - Phone
- (410) 647-0451
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21951 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21951 | MD | Yes |
Addresses
Primary practice location
25 Jones Station Rd W
Severna Park, MD 21146-4200
Mailing address
25 Jones Station Rd W
Severna Park, MD 21146-4200
Phone (410) 647-0451
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.