Individual provider Active NPI

Uchechukwu Janet Eyisi, PHARMD

  • Pharmacist
  • La Plata, MD
National Provider Identifier
1447633409
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19290 Issued in MD
Practice address
6260 Crain Hwy
La Plata, MD 20646-4258
Phone
(301) 934-9564
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19290 MD Primary

Addresses

Primary practice location

6260 Crain Hwy
La Plata, MD 20646-4258

Mailing address

511 Harry S Truman Dr
Apt 407
Largo, MD 20774-2073
Phone (267) 455-2329

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

State licenses

LicenseStateTypeSpecialty
19290MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1447633409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HARRY S TRUMAN DR",
            "address_2": "APT 407",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207742073",
            "telephone_number": "267-455-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 CRAIN HWY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464258",
            "telephone_number": "301-934-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYISI",
        "first_name": "UCHECHUKWU",
        "middle_name": "JANET",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.