DR. OLUBUKOLA FAKUNLE


Address: 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113
Phone: 4106721418

DR. OLUBUKOLA FAKUNLE (NPI# 1275869463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275869463
Entity Type Individual
Full Name DR. OLUBUKOLA FAKUNLE
Credential PHARM.D
Practice Address 2294 Blue Water Blvd
Weis Pharmacy
Odenton
MD 21113
Mailing Address 2294 Blue Water Blvd
Odenton
MD 21113-3300
Practice Telephone 4106721418
Mailing Telephone 4106721418
Enumeration Date 2009-10-23
Last Update Date 2010-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
18581 MD Pharmacy Service Providers

Office Location

Street Address 2294 BLUE WATER BLVD
WEIS PHARMACY
City ODENTON
State MD
Zip Code 21113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063982593 Darren Klotz Pharmacist 2294 Blue Water Blvd, Odenton, MD 21113-3300 2018-11-27
1518990845 Weis Markets Inc Pharmacy 2294 Blue Water Blvd, Odenton, MD 21113-3300 2006-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366938599 Dmv Community Health Services LLC Clinic/Center 87778 Pine Orchard Parkway, Odenton, MD 21113 2018-07-11
1285125997 Edward Lashawn Harvey Specialist 207 Ammunition Ave, Odenton, MD 21113 2018-05-29
1275041394 Aimee Kathleen Olivera Sanchez Social Worker 2150 Colonel Way, Odenton, MD 21113 2018-01-11
1891214714 Bincy Kuttiplackal Mathai Dentist 1135 Annapolis Road, Odenton, MD 21113 2017-09-12
1730601949 Amanda Mary Jackiewicz Physician Assistant Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 2017-07-10
1346771235 Pattrena Reid Respiratory Therapist, Registered 115 Bragg Blvd, Odenton, MD 21113 2017-03-23
1225572233 Pamela Denise Ponder Internal Medicine 2603 Portola Court, Odenton, MD 21113 2016-12-09
1285052803 Diana Nicole Spell Internal Medicine Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 2014-04-01
1730431321 Orthopedic Physicians of Annapolis LLC Prosthetic/Orthotic Supplier 1106 Annapolis Road, Suite 130, Odenton, MD 21113 2012-10-08
1376731034 Karen S. Clarke-bennett Family Medicine 1114 Town Center Blvd, Suite G, Odenton, MD 21113 2007-10-09
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720697436 Maxcare Pharmacy Pharmacist 7448 Baltimore Annapolis Blvd Ste A, Glen Burnie, MD 21061-3468 2020-07-28
1255966735 David Lee Lowery Pharmacist 1102 Midvale Ave, Mount Airy, MD 21771-5522 2020-03-05
1639703523 Mary Katherine Emadi Pharmacist 1320 Londontown Blvd, Eldersburg, MD 21784-6409 2020-02-28
1245878875 Crowns Pharmacy LLC Pharmacist 9705 Fort Meade Rd, Laurel, MD 20707-4405 2019-12-13
1932750536 Oluwadamilola Ademiluyi Pharmacist 202 Bottsford Ave, Upper Marlboro, MD 20774-8416 2019-09-25
1093361008 Mark Adjetey Pharmacist 18924 Marsh Hawk Ln, Gaithersburg, MD 20879-1774 2019-08-15
1841760048 Roudabeh Faghri Pharmacist 1201 Dutchmans Creek Dr, Brunswick, MD 21716-9770 2018-11-29
1003384678 Prime Clinical Associates, LLC Pharmacist 9019 Sunni Shade Ct, Perry Hall, MD 21128-9222 2018-11-12
1922594837 Adebayo Ajifolokun Pharmacist 2307 Clerklee Way, Bowie, MD 20721-1866 2018-07-03
1669993606 Maria Giannas Pharmacist 6510 O'donnell St, Baltimore, MD 21224 2017-06-29
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Competitor

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City ODENTON
Zip Code 21113

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Dataset Information

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.

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