Active NPI
Ifedinma Nnenna Okonkwo
- Pharmacist
- Baltimore, MD
National Provider Identifier
1386955276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14066
- Practice address
- 1521 Harford Ave
Baltimore, MD 21202-5705 - Phone
- (410) 962-5541
- NPI assigned
- Jun 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14066 | MD | Primary |
| Pharmacist | 183500000X | PH3151 | DC |
Addresses
Primary practice location
1521 Harford Ave
Baltimore, MD 21202-5705
Mailing address
1521 Harford Ave
Baltimore, MD 21202-5705
Phone (410) 962-5541
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 |
|---|---|---|---|
| 14066 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PH3151 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1386955276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 HARFORD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212025705",
"telephone_number": "410-962-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 HARFORD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212025705",
"telephone_number": "410-962-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKONKWO",
"first_name": "IFEDINMA",
"middle_name": "NNENNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "14066",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH3151",
"primary": false
}
],
"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 Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.