Active NPI
Sonia Tinko Ngankwe, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Benton Harbor, MI
National Provider Identifier
1013436674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 60966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD13957 | AR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 5302044986 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 60966 | TX | MD | Pharmacist 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.