Individual provider Active NPI

Edith Adjiri Egnankou, PHARM.D

  • Pharmacotherapy Pharmacist
  • Chevy Chase, MD
National Provider Identifier
1487900353
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
19010 Issued in MD
Practice address
5530 Wisconsin Ave Ste 100
Chevy Chase, MD 20815-4423
Phone
(301) 657-3050
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 19010 MD
Pharmacotherapy Pharmacist 1835P1200X 19010 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 100
Chevy Chase, MD 20815-4423

Mailing address

5530 Wisconsin Ave Ste 100
Chevy Chase, MD 20815-4423
Phone (301) 657-3050

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
19010MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advantra RX LLC PastSince Sep 15, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1487900353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 100",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154423",
            "telephone_number": "301-657-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 100",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154423",
            "telephone_number": "301-657-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNANKOU",
        "first_name": "EDITH",
        "middle_name": "ADJIRI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MD",
            "license": "19010",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "19010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.