Active NPI
Aquila Egodam Teko
- Pharmacist
- Upper Marlboro, MD
National Provider Identifier
1265702674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27757
- Practice address
- 5002 Ashford Dr
Upper Marlboro, MD 20772-2794 - Phone
- (202) 723-3060
- Fax
- (202) 723-3065
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- 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 | 27757 | MD | Primary |
Addresses
Primary practice location
5002 Ashford Dr
Upper Marlboro, MD 20772-2794
Mailing address
5002 Ashford Dr
Upper Marlboro, MD 20772-2794
Phone (202) 723-3060
Other practice location 1
7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone (202) 723-3060 ext. 213
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 |
|---|---|---|---|
| 27757 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1265702674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 ASHFORD DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722794",
"telephone_number": "202-723-3060",
"fax_number": "202-723-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 ASHFORD DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722794",
"telephone_number": "202-723-3060",
"fax_number": "202-723-3065"
}
],
"practiceLocations": [
{
"address_1": "7600 Georgia Ave NW",
"address_2": "SUITE 323",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200121616",
"country_code": "US",
"telephone_number": "202-723-3060 x213",
"fax_number": "202-723-3065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEKO",
"first_name": "AQUILA",
"middle_name": "EGODAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.