Active NPI
Fortune Anosike
- Pharmacist
- Baltimore, MD
National Provider Identifier
1457895104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24647
- Practice address
- 6838 Loch Raven Blvd
Baltimore, MD 21286-8301 - Phone
- (410) 425-8900
- NPI assigned
- Dec 15, 2016
- 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 | 24647 | MD | Primary |
Addresses
Primary practice location
6838 Loch Raven Blvd
Baltimore, MD 21286-8301
Mailing address
724 Narrowleaf Dr
Upper Marlboro, MD 20774-2374
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 |
|---|---|---|---|
| 24647 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483142400000",
"number": "1457895104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 NARROWLEAF DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6838 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212868301",
"telephone_number": "410-425-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANOSIKE",
"first_name": "FORTUNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-15",
"last_updated": "2016-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
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- Another Chance Recovery Service
- Another Chance Recovery Service PHP
- Another Chance Supportive Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.