Active NPI
Temitope Oluwayemisi Gbolagun, RPH. PHARM.D
- Pharmacist
- Owings Mills, MD
National Provider Identifier
1649368796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16665
- Practice address
- 9213 Lakeside Blvd
Owings Mills, MD 21117-3859 - Phone
- (410) 654-4441
- Fax
- (410) 654-4463
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 16665 | MD | Primary |
Addresses
Primary practice location
9213 Lakeside Blvd
Owings Mills, MD 21117-3859
Mailing address
9476 Fens Holw
Laurel, MD 20723-5732
Phone (301) 604-5507
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 |
|---|---|---|---|
| 16665 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naylor Lane Pharmacy Inc. | Pharmacist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacist
- Pikesville, MD
- NPI 1982009510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649368796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9476 FENS HOLW",
"city": "LAUREL",
"state": "MD",
"postal_code": "207235732",
"telephone_number": "301-604-5507",
"fax_number": "410-654-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9213 LAKESIDE BLVD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173859",
"telephone_number": "410-654-4441",
"fax_number": "410-654-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GBOLAGUN",
"first_name": "TEMITOPE",
"middle_name": "OLUWAYEMISI",
"name_prefix": "Dr.",
"credential": "RPH. PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.