Olaoluwa Omotosho, PHARMD, MBA, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

27875 Issued in MD

Practice address

8197 Westside Blvd
Fulton, MD 20759

Phone

(301) 362-5090

Fax

(301) 362-5096

NPI assigned

Apr 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1851970719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8197 WESTSIDE BLVD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592590",
            "telephone_number": "301-362-5090",
            "fax_number": "301-362-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8197 WESTSIDE BLVD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "20759",
            "telephone_number": "301-362-5090",
            "fax_number": "301-362-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Seven Locks Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208542903",
            "country_code": "US",
            "telephone_number": "301-838-2790",
            "fax_number": "301-838-2796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMOTOSHO",
        "first_name": "OLAOLUWA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Fulton, MD
• Providers in Fulton, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.