Tolu Adekoya
Individual provider Active NPI Pharmacist · Silver Spring, MD
NPI 1609477397 · NPPES record last updated Nov 8, 2020
Key facts
- NPI
- 1609477397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 25409 (MD)
- Practice address
- 8750 Arliss St
Silver Spring, MD 20901-3905 - Phone
- (301) 585-2777
- NPI assigned
- Nov 8, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25409 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past |
Accepting new patients | |
| Giant of Maryland LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25409 | MD | Yes |
Addresses
Primary practice location
8750 Arliss St
Silver Spring, MD 20901-3905
Mailing address
8750 Arliss St
Silver Spring, MD 20901-3905
Phone (301) 585-2777
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2020. 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.