Active NPI
Victoria Obikwelu
- Pharmacist
- Baltimore, MD
National Provider Identifier
1457992190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21095
- Practice address
- 700 Washington Blvd
Baltimore, MD 21230-2350 - Phone
- (410) 727-4400
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 21095 | MD | Primary |
Addresses
Primary practice location
700 Washington Blvd
Baltimore, MD 21230-2350
Mailing address
606 Brantford Ave
Silver Spring, MD 20904-2001
Phone (857) 413-7486
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 |
|---|---|---|---|
| 21095 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1457992190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 BRANTFORD AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042001",
"telephone_number": "857-413-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WASHINGTON BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212302350",
"telephone_number": "410-727-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIKWELU",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21095",
"primary": true
}
],
"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 Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.