Olatunji Ogunwole Abimbola, PHARM.D
Individual provider Active NPI Pharmacist · Bethesda, MD
NPI 1992138523 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1992138523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202212486 (VA)
- Practice address
- 8901 Wisconsin Ave BLDG 9
Bethesda, MD 20889-9098 - Phone
- (301) 974-1511
- NPI assigned
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202212486 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allyders Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202212486 | VA | Yes |
Addresses
Primary practice location
8901 Wisconsin Ave BLDG 9
Bethesda, MD 20889-9098
Mailing address
2025 Ray Leonard Rd
Landover, MD 20785-4226
Phone (301) 974-1511
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.