ADETUTU KOMOLAFE (NPI# 1063060150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063060150 |
| Entity Type | Individual |
| Full Name | ADETUTU KOMOLAFE |
| Practice Address |
6111 Dobbin Rd Columbia MD 21045-2898 |
| Mailing Address |
5420 Lynx Ln Columbia MD 21044-2484 |
| Practice Telephone | 4106901044 |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2019-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26244 | MD | Pharmacy Service Providers |
| Street Address |
6111 DOBBIN RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649292392 | Maryland Cvs Pharmacy LLC | Pharmacy | 6111 Dobbin Rd, Columbia, MD 21045 | 2006-07-24 |
| 1649879016 | Sababa Matin | Pharmacist | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2020-10-18 |
| 1083221394 | Sung Bin Ahn | Pharmacist | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2020-09-30 |
| 1306459771 | Rony Nakhle | Pharmacist | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2020-08-26 |
| 1356950521 | Izegbuwa Okosun | Pharmacist | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2020-07-23 |
| 1588216105 | Tigest T Lemma | Pharmacist | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2019-07-13 |
| 1205397718 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2019-03-27 |
| 1285124966 | Sonia Chen | Pharmacist | 6111 Dobbin Rd, Columbia, MD 21045-2898 | 2018-05-17 |
| 1134510449 | Andrea Millen | Pharmacy Technician | 6111 Dobbin Rd, Columbia, MD 21045 | 2015-02-09 |
| 1518358092 | Karen Murphy | Pharmacy Technician | 6111 Dobbin Rd, Columbia, MD 21045 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1821640046 | Maximilian Pettis | Pharmacist | 8940 Old Annapolis Rd Ste B, Columbia, MD 21045-2129 | 2019-07-09 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1578022513 | Nara Lee | Pharmacist | 525 Wotan Rd, Columbia, SC 29229-3347 | 2019-03-19 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1689149791 | Ashton Preslar | Pharmacist | 612 Whaley St Apt 135, Columbia, SC 29201-6323 | 2018-10-05 |
| 1013490390 | Crystal Cierra Graves | Pharmacist | 1 Windsor Cv Ste 306-2, Columbia, SC 29223-1833 | 2018-09-12 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.