Individual provider Active NPI

Kionna R Oleru, PHARM D

  • Pharmacist
  • Columbia, MD
National Provider Identifier
1366742421
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18489 Issued in MD
Practice address
7172 Columbia Gateway Dr
Suite 300
Columbia, MD 21046-2990
Phone
(443) 518-7000
NPI assigned
Oct 23, 2010
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100000452 DC
Pharmacist 183500000X 18489 MD Primary

Addresses

Primary practice location

7172 Columbia Gateway Dr
Suite 300
Columbia, MD 21046-2990

Mailing address

7172 Columbia Gateway Dr
Suite 300
Columbia, MD 21046-2990
Phone (443) 518-7000

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
18489MDMDClinical Social Worker
PH100000452DCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Biomatrix Specialty Pharmacy of Maryland, LLC PastSince Oct 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1366742421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7172 COLUMBIA GATEWAY DR",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462990",
            "telephone_number": "443-518-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 COLUMBIA GATEWAY DR",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462990",
            "telephone_number": "443-518-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLERU",
        "first_name": "KIONNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000452",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.