Individual provider Active NPI

Aderonke Akinbamowo

  • Pharmacist
  • Westminister, MD
National Provider Identifier
1902578420
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27871 Issued in MD
Practice address
200 Malcolm Drive
Westminister, MD 21157
Phone
(410) 848-2152
NPI assigned
Oct 3, 2021
Last updated
Oct 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27871 MD Primary

Addresses

Primary practice location

200 Malcolm Drive
Westminister, MD 21157

Mailing address

1011 Marshane Rd
Reisterstown, MD 21136
Phone (443) 794-8775

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CVS CVS

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

NPI Registry JSON

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633219200000",
    "number": "1902578420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "443-794-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALCOLM DRIVE",
            "city": "WESTMINISTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINBAMOWO",
        "first_name": "ADERONKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "Y",
            "affiliationName": "CVS",
            "address_1": "200 Malcolm drive",
            "city": "Westminister",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminister, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.