Individual provider Active NPI

Kazeem Adedayo Funmilayo

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1962794255
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202210434 Issued in VA
Practice address
3305 Garrison Blvd
Baltimore, MD 21216-1323
Phone
(443) 708-8917
NPI assigned
May 5, 2011
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210434 VA Primary

Addresses

Primary practice location

3305 Garrison Blvd
Baltimore, MD 21216-1323

Mailing address

3305 Garrison Blvd
Baltimore, MD 21216-1323
Phone (443) 708-8917

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
0202210434VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Pharmacy and Medical Supplies, LLC Current Accepting new patients

Locations

3305 Garrison Blvd
Baltimore, MD 21216
Phone (443) 351-4588

Organizations & group practices 1

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1962794255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161323",
            "telephone_number": "443-708-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161323",
            "telephone_number": "443-708-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNMILAYO",
        "first_name": "KAZEEM",
        "middle_name": "ADEDAYO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2021-03-10",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210434",
            "primary": true
        }
    ],
    "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 Mar 10, 2021; 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.