Active NPI
Benjamin Obuekwe Igboemeka, PHARMACIST
- Pharmacist
- Crofton, MD
National Provider Identifier
1235341967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11343
- Practice address
- 2203 Defense Highway
Crofton, MD 21114 - Phone
- (410) 721-6239
- NPI assigned
- May 4, 2007
- 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 | 11343 | MD | Primary |
Addresses
Primary practice location
2203 Defense Highway
Crofton, MD 21114
Mailing address
8420 Carrollton Pkwy
New Carrollton, MD 20784-2732
Phone (301) 518-9653
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11343 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235341967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 CARROLLTON PKWY",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207842732",
"telephone_number": "301-518-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 DEFENSE HIGHWAY",
"city": "CROFTON",
"state": "MD",
"postal_code": "21114",
"telephone_number": "410-721-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGBOEMEKA",
"first_name": "BENJAMIN",
"middle_name": "OBUEKWE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "11343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.