Active NPI
Jelilat Okanlawon
- Pharmacist
- Severna Park, MD
National Provider Identifier
1740553528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19795
- Practice address
- 496 Ritchie Hwy
Severna Park, MD 21146-2911 - Phone
- (410) 544-1291
- Fax
- (410) 544-1529
- NPI assigned
- Feb 9, 2012
- 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 | 19795 | MD | Primary |
Addresses
Primary practice location
496 Ritchie Hwy
Severna Park, MD 21146-2911
Mailing address
1620 Bluestone St
Apt M
Hanover, MD 21076-1951
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 |
|---|---|---|---|
| 19795 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1740553528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 BLUESTONE ST",
"address_2": "APT M",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 RITCHIE HWY",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462911",
"telephone_number": "410-544-1291",
"fax_number": "410-544-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKANLAWON",
"first_name": "JELILAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.