Individual provider Active NPI

Kelechi Egwu Agbi, PHARMD

  • Pharmacist
  • Catonsville, MD
National Provider Identifier
1356610539
Registry record updated Dec 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15844 Issued in MD
Practice address
5657 Baltimore National Pike
Catonsville, MD 21228-1412
Phone
(410) 788-1207
Fax
(410) 788-1964
NPI assigned
Dec 18, 2011
Last updated
Dec 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15844 MD Primary

Addresses

Primary practice location

5657 Baltimore National Pike
Catonsville, MD 21228-1412

Mailing address

202 Brightside Ave
Pikesville, MD 21208-4806
Phone (410) 484-7595

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

NPI Registry JSON

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324166400000",
    "number": "1356610539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BRIGHTSIDE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084806",
            "telephone_number": "410-484-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 BALTIMORE NATIONAL PIKE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281412",
            "telephone_number": "410-788-1207",
            "fax_number": "410-788-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBI",
        "first_name": "KELECHI",
        "middle_name": "EGWU",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-18",
        "last_updated": "2011-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; 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.