Active NPI
Abimbola Olalekan Ogunsemowo, PHARMD
- Pharmacist
- Chestertown, MD
National Provider Identifier
1366840316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22987
- Practice address
- 711 Washington Ave Ste 26
Chestertown, MD 21620-1057 - Phone
- (410) 778-4000
- NPI assigned
- Dec 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A10004686 | DE | |
| Pharmacist | 183500000X | 22987 | MD | Primary |
Addresses
Primary practice location
711 Washington Ave Ste 26
Chestertown, MD 21620-1057
Mailing address
133 Redden LN
Middletown, DE 19709-1708
Phone (336) 512-9368
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
| License | State | Type | Specialty |
|---|---|---|---|
| A10004686 | DE | MD | Pharmacist |
| 22987 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1366840316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 REDDEN LN",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091708",
"telephone_number": "336-512-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 WASHINGTON AVE STE 26",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201057",
"telephone_number": "410-778-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNSEMOWO",
"first_name": "ABIMBOLA",
"middle_name": "OLALEKAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A10004686",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.