Active NPI
Ifeanyi Israel Ogbonna, RPH
- Pharmacist
- Hagerstown, MD
National Provider Identifier
1326693391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26291
- Practice address
- 10 E Wilson Blvd
Hagerstown, MD 21740-7331 - Phone
- (301) 790-0710
- NPI assigned
- Aug 7, 2019
- Last updated
- Aug 7, 2019
- 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 | 26291 | MD | Primary |
Addresses
Primary practice location
10 E Wilson Blvd
Hagerstown, MD 21740-7331
Mailing address
3016 Hickory Woods Dr NE Apt 132
Roanoke, VA 24012-6359
Phone (513) 823-5270
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26291 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1326693391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 HICKORY WOODS DR NE APT 132",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240126359",
"telephone_number": "513-823-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E WILSON BLVD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217407331",
"telephone_number": "301-790-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBONNA",
"first_name": "IFEANYI",
"middle_name": "ISRAEL",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.