Individual provider Active NPI

Sonia Tinko Ngankwe, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Benton Harbor, MI
National Provider Identifier
1013436674
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
60966 Issued in TX
Practice address
875 E Napier Ave
Benton Harbor, MI 49022-6125
Phone
(501) 960-8393
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5302044986 MI
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PD13957 AR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 60966 TX Primary

Addresses

Primary practice location

875 E Napier Ave
Benton Harbor, MI 49022-6125

Mailing address

212 Eddy Street Apt 201
201
Michigan City, IN 46360
Phone (501) 960-8393

Other practice location 1

1710 W John Beers Rd
Stevensville, MI 49127-9409
Phone (501) 960-8393

Other names 1

  • Loise Sonia Tinko Ngankwe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD13957ARMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5302044986MIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
60966TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013436674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 EDDY STREET APT 201",
            "address_2": "201",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "501-960-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E NAPIER AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226125",
            "telephone_number": "501-960-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 W John Beers Rd",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MI",
            "postal_code": "491279409",
            "country_code": "US",
            "telephone_number": "501-960-8393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGANKWE",
        "first_name": "SONIA",
        "middle_name": "TINKO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302044986",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD13957",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "60966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOISE SONIA",
            "last_name": "TINKO NGANKWE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.