Israel C Agwamba, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13868 Issued in MD

Practice address

3180 Bladensburg Rd
Washington, DC 20018

Phone

(202) 269-0000

Fax

(202) 269-0100

NPI assigned

Jan 22, 2013

Last updated

Jan 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fort Lincoln Pharmacy & Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, DC
  • NPI 1336484328
  NPD (past)
• Fort Lincoln Pharmacy & Medical Equipment, LLC

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1437494416
  NPD (past)

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1255679585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 SNOWDEN POND RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083066",
            "telephone_number": "301-254-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 BLADENSBURG RD",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20018",
            "telephone_number": "202-269-0000",
            "fax_number": "202-269-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGWAMBA",
        "first_name": "ISRAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH3254",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Aguilera, OCCUPATIONAL THERAPI
• Nathalie Marie Aguirre-Boyd, MS, BCBA
• Kelly Ann Aguirre, MSW, MPH, LICSW
• Nury R Aguirre
• Sosina Bogale Agur
• Neris Agwenjang
• Blessing Agwi
• Frankline Agwo
• Godson Mbah Agwo
• Matidian Agweck Agwo

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.