Individual provider Active NPI

Oluwatosin Adetola Adekoya

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1932498326
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14454 Issued in MD
Practice address
1521 Harford Ave
Baltimore, MD 21202-5705
Phone
(410) 962-5541
Fax
(410) 962-7108
NPI assigned
Apr 6, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14454 MD Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 14454 MD

Addresses

Primary practice location

1521 Harford Ave
Baltimore, MD 21202-5705

Mailing address

1521 Harford Ave
Baltimore, MD 21202-5705
Phone (410) 962-5541

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

LicenseStateTypeSpecialty
14454MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1932498326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 HARFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025705",
            "telephone_number": "410-962-5541",
            "fax_number": "410-962-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 HARFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025705",
            "telephone_number": "410-962-5541",
            "fax_number": "410-962-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKOYA",
        "first_name": "OLUWATOSIN",
        "middle_name": "ADETOLA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14454",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "14454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.