Active NPI
Constance Ijang Ambele
- Pharmacist
- Fort Washington, MD
National Provider Identifier
1467054064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26134
- Practice address
- 9507 Livingston Rd
Fort Washington, MD 20744-4919 - Phone
- (301) 248-1333
- NPI assigned
- Nov 10, 2020
- 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 | 26134 | MD | Primary |
Addresses
Primary practice location
9507 Livingston Rd
Fort Washington, MD 20744-4919
Mailing address
10111 Marguerita Ave
Glenn Dale, MD 20769-7502
Phone (240) 435-9709
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 |
|---|---|---|---|
| 26134 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Current | Accepting new patients |
Locations
9507 Livingston Rd
Ft Washington, MD 20744
Phone (240) 273-1224
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ft Washington, MD
- NPI 1245263599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1467054064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10111 MARGUERITA AVE",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207697502",
"telephone_number": "240-435-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9507 LIVINGSTON RD",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444919",
"telephone_number": "301-248-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBELE",
"first_name": "CONSTANCE",
"middle_name": "IJANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.