Active NPI
Nicole Adanna Nwandu
- Pharmacist
- Ellicott City, MD
National Provider Identifier
1417757253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30283
- Practice address
- 4370 Montgomery Rd
Ellicott City, MD 21043-6006 - Phone
- (410) 203-1212
- NPI assigned
- Mar 18, 2025
- 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 | 30283 | MD | Primary |
Addresses
Primary practice location
4370 Montgomery Rd
Ellicott City, MD 21043-6006
Mailing address
7830 Contee Rd Apt 423
Laurel, MD 20707-9247
Phone (202) 270-3482
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 |
|---|---|---|---|
| 30283 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1417757253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7830 CONTEE RD APT 423",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079247",
"telephone_number": "202-270-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 MONTGOMERY RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436006",
"telephone_number": "410-203-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWANDU",
"first_name": "NICOLE",
"middle_name": "ADANNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "30283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.