Active NPI
Olufemi Olayinka Olaniyan
- Pharmacist
- Edgewater, MD
National Provider Identifier
1790009124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16024
- Practice address
- 3255 Solomons Island Rd
Edgewater, MD 21037-2714 - Phone
- (410) 956-0053
- NPI assigned
- Mar 14, 2010
- Sex
- Male
- 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 | 16024 | MD | Primary |
Addresses
Primary practice location
3255 Solomons Island Rd
Edgewater, MD 21037-2714
Mailing address
9903 Glenkirk Way
Bowie, MD 20721-2984
Phone (301) 925-8088
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 |
|---|---|---|---|
| 16024 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268524800000",
"number": "1790009124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9903 GLENKIRK WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212984",
"telephone_number": "301-925-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 SOLOMONS ISLAND RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372714",
"telephone_number": "410-956-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLANIYAN",
"first_name": "OLUFEMI",
"middle_name": "OLAYINKA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-14",
"last_updated": "2010-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.