Active NPI
Olufunmilayo Bolanle Jegede
- Pharmacist
- Columbia, MD
National Provider Identifier
1659973345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15913
- Practice address
- 7200 Cradlerock Way
Columbia, MD 21045-5170 - Phone
- (410) 290-7013
- NPI assigned
- Nov 9, 2020
- 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 | 15913 | MD | Primary |
Addresses
Primary practice location
7200 Cradlerock Way
Columbia, MD 21045-5170
Mailing address
7200 Cradlerock Way
Columbia, MD 21045-5170
Phone (410) 290-7013
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 |
|---|---|---|---|
| 15913 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Parkville, MD
- NPI 1639938020
-
- Community/Retail Pharmacy
- Columbia, MD
- NPI 1699708941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1659973345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CRADLEROCK WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455170",
"telephone_number": "410-290-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 CRADLEROCK WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455170",
"telephone_number": "410-290-7013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEGEDE",
"first_name": "OLUFUNMILAYO",
"middle_name": "BOLANLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.