NPIMap

Organization Active NPI

Christian Iheanacho Amuchie

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1093761397
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P04305 Issued in MD
Legal business name
CHRISTIAN IHEANACHO AMUCHIE
Practice address
1900 E Northern Pkwy
Suite 100
Baltimore, MD 21239-2113
Phone
(410) 433-8150
Fax
(410) 433-8170
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Christian AmuchieNPI 1922715077
Title
Pharmacist Ceo
Phone
(410) 433-8150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P04305 MD Primary

Addresses

Primary practice location

1900 E Northern Pkwy
Suite 100
Baltimore, MD 21239-2113

Mailing address

1900 E Northern Pkwy
Suite 100
Baltimore, MD 21239-2113
Phone (410) 433-8150

Other identifiers 2

IdentifierTypeStateIssuer
2038000OtherPK
408076950MedicaidMD

Other names 1

  • SUNRISE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1900 E Northern Pkwy
Ste 100
Baltimore, MD 21239
Phone (410) 433-8150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1093761397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-433-8150",
            "fax_number": "410-433-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-433-8150",
            "fax_number": "410-433-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN IHEANACHO AMUCHIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "AMUCHIE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PHARMACIST CEO",
        "authorized_official_telephone_number": "410-433-8150"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P04305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2038000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408076950",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.