Emmanuel O Adesanya, PHARM.D.
Individual provider Active NPI Pharmacist · Annapolis, MD
NPI 1295954626 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295954626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13798 (MD)
- Practice address
- 1005 Bay Ridge Ave
Annapolis, MD 21403-3031 - Phone
- (410) 267-8600
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13798 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient 1St Homehealthcare LLC | Current | Accepting new patients | |
| Ultracare Homehealthcare Agency LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13798 | MD | Yes |
Addresses
Primary practice location
1005 Bay Ridge Ave
Annapolis, MD 21403-3031
Mailing address
7507 Taylor St
Landover Hills, MD 20784-6319
Phone (240) 688-3379
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.