Impact Business Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IMPACT BUSINESS GROUP INC

Doing business as

Care 360 Pharmacy

Practice address

5704 Ritchie Hwy
Brooklyn Park, MD 21225-3641

Phone

(410) 589-6059

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Henrietta Ngozi OlowoyoNPI 1124318852

Title

Pharmacist

Phone

(410) 589-6059

Specialties & licenses 1

Addresses

Other names 1

• CARE 360 PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henrietta Ngozi Olowoyo

  • Pharmacist
  • Baltimore, MD
  • NPI 1124318852
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1487304465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 GANNON CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443145",
            "telephone_number": "240-338-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 RITCHIE HWY",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253641",
            "telephone_number": "410-589-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT BUSINESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "OLOWOYO",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-589-6059",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE 360 PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Eldercare (Genesis)
• Genesis Healthcare
• Gloria Gillyard
• Mellissa Holt, ADT
• Hopes Horizon DNP Services LLC
• Infinite Possibilities Care Connections, Inc. (Infinite Possibilities Care Connections)
• Bryona Knight
• Emily Athena Kornegay, COTA
• Julie Ann Kramer, CRNP
• Joseph Lebbie

• Community/Retail Pharmacy in Brooklyn Park, MD
• Providers in Brooklyn Park, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.