Active NPI
Juulcurley Agbor-Enoh, PHARM D
- Pharmacist
- Glen Burnie, MD
National Provider Identifier
1174048128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24539
- Practice address
- 7400 Ritchie Hwy
Glen Burnie, MD 21061-3110 - Phone
- (410) 760-2112
- NPI assigned
- Aug 11, 2017
- Last updated
- Aug 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24539 | MD | Primary |
Addresses
Primary practice location
7400 Ritchie Hwy
Glen Burnie, MD 21061-3110
Mailing address
6509 Rice CT
Elkridge, MD 21075-5953
Phone (703) 677-4629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | NONE | |
| NONE | Other | NONE |
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 |
|---|---|---|---|
| 24539 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502409600000",
"number": "1174048128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 RICE CT",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755953",
"telephone_number": "17036774629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613110",
"telephone_number": "410-760-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBOR-ENOH",
"first_name": "JUULCURLEY",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2017-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "0000000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.