Individual provider Active NPI

Ndunganoh G Asogo

  • Pharmacist
  • Hyattsville, MD
National Provider Identifier
1093072852
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26890 Issued in MD
Practice address
2709 Nicholson St
Apt 203
Hyattsville, MD 20782-2811
Phone
(202) 386-1365
Fax
(202) 722-1726
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Pharmacist 183500000X 26890 MD Primary

Addresses

Primary practice location

2709 Nicholson St
Apt 203
Hyattsville, MD 20782-2811

Mailing address

2709 Nicholson St
Apt 203
Hyattsville, MD 20782-2811
Phone (202) 386-1365

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

State licenses

LicenseStateTypeSpecialty
26890MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1093072852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 NICHOLSON ST",
            "address_2": "APT 203",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822811",
            "telephone_number": "202-386-1365",
            "fax_number": "202-722-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 NICHOLSON ST",
            "address_2": "APT 203",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822811",
            "telephone_number": "202-386-1365",
            "fax_number": "202-722-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASOGO",
        "first_name": "NDUNGANOH",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.