Individual provider Active NPI

Ojong Ojong Manfred

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1508454034
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27176 Issued in MD
Practice address
3915 Hollins Ferry Rd
Baltimore, MD 21227-3416
Phone
(410) 242-1441
NPI assigned
Jan 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27176 MD Primary

Addresses

Primary practice location

3915 Hollins Ferry Rd
Baltimore, MD 21227-3416

Mailing address

3915 Hollins Ferry Rd
Baltimore, MD 21227-3416
Phone (410) 242-1441

Other practice location 1

3915 Hollins Ferry Rd
Baltimore, MD 21227-3416
Phone (410) 242-1441

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

LicenseStateTypeSpecialty
27176MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1508454034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 HOLLINS FERRY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273416",
            "telephone_number": "410-242-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 HOLLINS FERRY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273416",
            "telephone_number": "410-242-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3915 Hollins Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212273416",
            "country_code": "US",
            "telephone_number": "410-242-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANFRED",
        "first_name": "OJONG",
        "middle_name": "OJONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27176",
            "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 Jan 10, 2021; 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.