Individual provider Active NPI

Kayode Fatodu

  • Pharmacist
  • Ellicott City, MD
National Provider Identifier
1639036593
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30728 Issued in MD
Practice address
9824 Madelaine CT
Ellicott City, MD 21042-4918
Phone
(410) 952-5855
NPI assigned
Jan 5, 2026
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30728 MD Primary

Addresses

Primary practice location

9824 Madelaine CT
Ellicott City, MD 21042-4918

Mailing address

9824 Madelaine CT
Ellicott City, MD 21042-4918
Phone (410) 952-5855

Other names 1

  • Kai Fatodu Other name

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

LicenseStateTypeSpecialty
30728MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1639036593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9824 MADELAINE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424918",
            "telephone_number": "410-952-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9824 MADELAINE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424918",
            "telephone_number": "410-952-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATODU",
        "first_name": "KAYODE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "30728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAI",
            "last_name": "FATODU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.