Mingocare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06387 Issued in MD

Legal business name

MINGOCARE INC

Practice address

7444 Holabird Ave
Suite 2
Dundalk, MD 21222-1845

Phone

(215) 917-0527

NPI assigned

May 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamadou Ballo

Title

Manager

Phone

(215) 917-0527

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1003228156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 HENRY HARFORD DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091123",
            "telephone_number": "215-917-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 HOLABIRD AVE",
            "address_2": "SUITE 2",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221845",
            "telephone_number": "215-917-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINGOCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BALLO",
        "authorized_official_first_name": "MOHAMADOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-917-0527"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.