Individual provider Active NPI

Nneka Ezeaputa, RPH

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1255581153
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16443 Issued in MD
Practice address
4339 Ebenezer Rd
Baltimore, MD 21236-2143
Phone
(410) 529-6171
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16443 MD Primary

Addresses

Primary practice location

4339 Ebenezer Rd
Baltimore, MD 21236-2143

Mailing address

9500 Oakbranch Way
Nottingham, MD 21236-4745
Phone (410) 529-4912

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16443MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1255581153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 OAKBRANCH WAY",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364745",
            "telephone_number": "410-529-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 EBENEZER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEAPUTA",
        "first_name": "NNEKA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 26, 2008; 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.