Individual provider Active NPI

Maria Osundele, PHARM D

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1922288398
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051837 Issued in NY
Practice address
3085 E Tremont Ave
Bronx, NY 10461-5720
Phone
(718) 863-2677
Fax
(718) 863-2442
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051837 NY Primary

Addresses

Primary practice location

3085 E Tremont Ave
Bronx, NY 10461-5720

Mailing address

3085 E Tremont Ave
Bronx, NY 10461-5720
Phone (718) 863-2677

Other identifiers 1

IdentifierTypeStateIssuer
00905986MedicaidNY

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051837NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1922288398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615720",
            "telephone_number": "718-863-2677",
            "fax_number": "718-863-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615720",
            "telephone_number": "718-863-2677",
            "fax_number": "718-863-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNDELE",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00905986",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.