Active NPI
Justine Ataa Kankam, PHARMD
- Pharmacist
- District Heights, MD
National Provider Identifier
1194558320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29589
- Practice address
- 5870 Silver Hill Rd
District Heights, MD 20747-1103 - Phone
- (301) 736-3994
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 29589 | MD | Primary |
Addresses
Primary practice location
5870 Silver Hill Rd
District Heights, MD 20747-1103
Mailing address
511 Garrett a Morgan Blvd
Landover, MD 20785-4546
Phone (678) 643-4756
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 |
|---|---|---|---|
| 29589 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1194558320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 GARRETT A MORGAN BLVD",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207854546",
"telephone_number": "678-643-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 SILVER HILL RD",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207471103",
"telephone_number": "301-736-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANKAM",
"first_name": "JUSTINE",
"middle_name": "ATAA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "29589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.