Active NPI
Omowunmi Maureen Anibaba, PHARMD
- Pharmacist
- Edgewood, MD
National Provider Identifier
1962772525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20360
- Practice address
- 702 Edgewood Rd
Edgewood, MD 21040-2400 - Phone
- (410) 671-9780
- NPI assigned
- Jan 12, 2012
- Last updated
- Jan 12, 2012
- 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 | 20360 | MD | Primary |
Addresses
Primary practice location
702 Edgewood Rd
Edgewood, MD 21040-2400
Mailing address
9882 Decatur Rd
Middle River, MD 21220-3777
Phone (410) 790-4365
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 |
|---|---|---|---|
| 20360 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1962772525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9882 DECATUR RD",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212203777",
"telephone_number": "410-790-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 EDGEWOOD RD",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210402400",
"telephone_number": "410-671-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIBABA",
"first_name": "OMOWUNMI",
"middle_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.