Jenka'a Cecile Dzekashu, PHARMD
Individual provider Active NPI Pharmacist · Edgewood, MD
NPI 1013203066 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1013203066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 015254 (KY)
- Practice address
- 316 Ahern Dr
Edgewood, MD 21040-3400 - Phone
- (240) 994-3896
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 015254 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Admired Home Healthcare Solutions, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015254 | KY | Yes |
Addresses
Primary practice location
316 Ahern Dr
Edgewood, MD 21040-3400
Mailing address
316 Ahern Dr
Edgewood, MD 21040-3400
Phone (240) 994-3896
Other providers in Edgewood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. 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.