Modstel LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MODSTEL LLC

Practice address

10820 Rhode Island Avenue
Suite F
Beltsville, MD 20705

Phone

(301) 937-6662

Fax

(301) 595-0947

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Olutayo A Oluwabusi

Title

Chief Pharmacist Owner

Phone

(301) 937-6662

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831235449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 RHODE ISLAND AVENUE",
            "address_2": "SUITE F",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "301-937-6662",
            "fax_number": "301-595-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 RHODE ISLAND AVENUE",
            "address_2": "SUITE F",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "301-937-6662",
            "fax_number": "301-595-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODSTEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OLUWABUSI",
        "authorized_official_first_name": "OLUTAYO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF PHARMACIST OWNER",
        "authorized_official_telephone_number": "301-937-6662"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P01780",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987474700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2119166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Beltsville, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.