Active NPI
Adekola Balogun, RPH
- Pharmacist
- Olney, MD
National Provider Identifier
1962923078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24785
- Practice address
- 3110 Olney Sandy Spring Rd
Olney, MD 20832-1408 - Phone
- (301) 774-6155
- NPI assigned
- Jun 28, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | 24785 | MD | Primary |
Addresses
Primary practice location
3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Mailing address
3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone (301) 774-6155
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24785 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Ict Corp | Current | Accepting new patients |
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": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962923078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 OLNEY SANDY SPRING RD",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321408",
"telephone_number": "301-774-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 OLNEY SANDY SPRING RD",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321408",
"telephone_number": "301-774-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOGUN",
"first_name": "ADEKOLA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.