Innocent Egbunine

Primary specialty

PharmacistTaxonomy code 183500000X

License

12461 Issued in MD

Practice address

1447 York Rd
Lutherville, MD 21093-6017

Phone

(410) 339-5506

Fax

(410) 339-5650

NPI assigned

Mar 20, 2008

Last updated

Mar 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1598936296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 MORAVIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066411",
            "telephone_number": "410-488-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936017",
            "telephone_number": "410-339-5506",
            "fax_number": "410-339-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUNINE",
        "first_name": "INNOCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "12461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Duffy, DPM
• David Dwayne Dunbar, PTA
• Jennifer Vine Dutrow
• Elizabeth W Dzeng, MD, MPH, MPHIL, MS
• Rose M Edwards, LCSW-C
• Aria Eghbal
• Joseph Martin Eisenberg, PH.D.
• Justin Ewen Elfrey, D.O.
• Meghan Kathleen Elgert
• Elisabeth G. Richard, MD PA

• Pharmacist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.