Active NPI
Oluwatosin Umoeka
- Pharmacist
- Bowie, MD
National Provider Identifier
1396076246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42500
- Practice address
- 4504 Morning Glory TRL
Bowie, MD 20720-4242 - Phone
- (952) 457-3613
- Fax
- (817) 466-2999
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42500 | TX | Primary |
Addresses
Primary practice location
4504 Morning Glory TRL
Bowie, MD 20720-4242
Mailing address
4504 Morning Glory TRL
Bowie, MD 20720-4242
Phone (952) 457-3613
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42500 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1396076246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 MORNING GLORY TRL",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204242",
"telephone_number": "952-457-3613",
"fax_number": "817-466-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 MORNING GLORY TRL",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204242",
"telephone_number": "952-457-3613",
"fax_number": "817-466-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMOEKA",
"first_name": "OLUWATOSIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "42500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.