Active NPI
Naa Ekua Odifie, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Germantown, MD
National Provider Identifier
1245679406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 14535
- Practice address
- 19005 Amarillo Dr
Germantown, MD 20874-6140 - Phone
- (301) 515-0647
- NPI assigned
- Jun 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 14535 | MD | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | PH00022411 | WA |
Addresses
Primary practice location
19005 Amarillo Dr
Germantown, MD 20874-6140
Mailing address
19005 Amarillo Dr
Germantown, MD 20874-6140
Phone (301) 515-0647
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 |
|---|---|---|---|
| 14535 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PH00022411 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1245679406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19005 AMARILLO DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746140",
"telephone_number": "301-515-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19005 AMARILLO DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746140",
"telephone_number": "301-515-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODIFIE",
"first_name": "NAA",
"middle_name": "EKUA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-21",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "14535",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH00022411",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.