Active NPI
Alice Ada Ohanele, PHARMD
- Pharmacist
- Odenton, MD
National Provider Identifier
1952902215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27625
- Practice address
- 1102 Annapolis Rd
Odenton, MD 21113-1602 - Phone
- (410) 674-8338
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27625 | MD | Primary |
Addresses
Primary practice location
1102 Annapolis Rd
Odenton, MD 21113-1602
Mailing address
3720 Green Ash CT
Beltsville, MD 20705-3826
Phone (240) 472-9221
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Odenton | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27625 | MD | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Maryland CVS Pharmacy LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1952902215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 GREEN ASH CT",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053826",
"telephone_number": "240-472-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 ANNAPOLIS RD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131602",
"telephone_number": "410-674-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHANELE",
"first_name": "ALICE",
"middle_name": "ADA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27625",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Odenton",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1102 Annapolis Rd",
"city": "Odenton",
"state": "MD",
"country_code": "US",
"postal_code": "211131602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.