Individual provider Active NPI

Pius Iwegbunem Agbasionwe, BPHARM

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1639355829
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042094 Issued in NY
Practice address
5916 Glenwood Rd
Brooklyn, NY 11234-1817
Phone
(718) 531-6000
Fax
(718) 531-6004
NPI assigned
Jan 17, 2008
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042094 NY Primary

Addresses

Primary practice location

5916 Glenwood Rd
Brooklyn, NY 11234-1817

Mailing address

5916 Glenwood Rd
Brooklyn, NY 11234-1817
Phone (718) 531-6000

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
042094NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Austra Line Pharmacy Inc Pharmacist Past Accepting new patients
Austra Line Pharmacy Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1639355829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341817",
            "telephone_number": "718-531-6000",
            "fax_number": "718-531-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341817",
            "telephone_number": "718-531-6000",
            "fax_number": "718-531-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBASIONWE",
        "first_name": "PIUS",
        "middle_name": "IWEGBUNEM",
        "name_prefix": "Mr.",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.