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).
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 |
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 |
Street Address |
2294 BLUE WATER BLVD WEIS PHARMACY |
City | ODENTON |
State | MD |
Zip Code | 21113 |
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 |
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 |
Find all providers in zip 21113 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
Find all providers with the same taxonomy |
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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.