Jackson Kamga Kamdem, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

26175 Issued in MD

Practice address

1000 S Charles St
Baltimore, MD 21230-4046

Phone

(410) 752-9087

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1053053959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 EMILYS WAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702460",
            "telephone_number": "301-512-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304046",
            "telephone_number": "410-752-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDEM",
        "first_name": "JACKSON",
        "middle_name": "KAMGA",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MD",
            "license": "26175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Kamba
• Shani Shana Kamberi, MD
• Rekha Kambhampati, M.D.
• Shree Nikhita Kambhampati
• Yuvraj Kamboj, MD
• Nyenpu Kamei, LMSW
• Fernande Kamena Dongmo
• Marinet Ade Kamga, NP
• Kamili Behavioral Health Center
• Constantine J Kaminaris, DDS

• Ambulatory Care Pharmacist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ambulatory Care Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.