Active NPI
Kelechi Agwu Aguwa, PHARMD
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1083188841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23033
- Practice address
- 12000 Cherry Hill Rd
Silver Spring, MD 20904-1985 - Phone
- (240) 994-3121
- NPI assigned
- Jan 15, 2019
- Last updated
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23033 | MD | Primary |
Addresses
Primary practice location
12000 Cherry Hill Rd
Silver Spring, MD 20904-1985
Mailing address
1808 Cedarwood CT
Landover, MD 20785-4000
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 |
|---|---|---|---|
| 23033 | MD | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- Ironwood, MI
- NPI 1124456884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1083188841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 CEDARWOOD CT",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207854000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 CHERRY HILL RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041985",
"telephone_number": "240-994-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUWA",
"first_name": "KELECHI",
"middle_name": "AGWU",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.