Individual provider Active NPI

Imoleayo Fanilola, PHARMD

  • Pharmacist
  • Pikesville, MD
National Provider Identifier
1932994555
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30212 Issued in MD
Practice address
1809 Reisterstown Rd Ste 115
Pikesville, MD 21208-6329
Phone
(410) 559-1750
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30212 MD Primary

Addresses

Primary practice location

1809 Reisterstown Rd Ste 115
Pikesville, MD 21208-6329

Mailing address

1809 Reisterstown Rd Ste 115
Pikesville, MD 21208-6329

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
30212MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pharmacia CurrentSince Apr 20, 2025 Accepting new patients
The Pharmacia PastSince Apr 20, 2025 Accepting new patients

Locations

1809 Reisterstown Rd
Ste 115
Pikesville, MD 21208
Phone (410) 559-1750

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1932994555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 REISTERSTOWN RD STE 115",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 REISTERSTOWN RD STE 115",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086329",
            "telephone_number": "410-559-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANILOLA",
        "first_name": "IMOLEAYO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "30212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.