Individual provider Active NPI

Steve Adewale Anifowoshe, RPH

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1386172252
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11071 Issued in MD
Practice address
5109 York Rd Ste 1
Baltimore, MD 21212-4399
Phone
(410) 532-9796
Fax
(410) 532-9796
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11071 MD Primary

Addresses

Primary practice location

5109 York Rd Ste 1
Baltimore, MD 21212-4399

Mailing address

5109 York Rd Ste 1
Baltimore, MD 21212-4399
Phone (410) 532-9796

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

LicenseStateTypeSpecialty
11071MDMDSpeech-Language Pathologist

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1386172252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 YORK RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124399",
            "telephone_number": "410-532-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 YORK RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124399",
            "telephone_number": "410-532-9796",
            "fax_number": "410-532-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIFOWOSHE",
        "first_name": "STEVE",
        "middle_name": "ADEWALE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.