Active NPI
Omoniyi Agunbiade, PHARMD, MBA
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Columbia, MD
National Provider Identifier
1982015038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 18026
- Practice address
- 7098 Winter Rose Path
Columbia, MD 21045-5127 - Phone
- (240) 350-5697
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 18026 | MD | Primary |
Addresses
Primary practice location
7098 Winter Rose Path
Columbia, MD 21045-5127
Mailing address
7098 Winter Rose Path
Columbia, MD 21045-5127
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18026 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1982015038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7098 WINTER ROSE PATH",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7098 WINTER ROSE PATH",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455127",
"telephone_number": "240-350-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUNBIADE",
"first_name": "OMONIYI",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "18026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.