Individual provider Active NPI

Kosisochukwu Akporji

  • Pharmacist
  • Columbia, MD
National Provider Identifier
1639766017
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22488 Issued in MD
Practice address
5405 Lynx LN
Columbia, MD 21044-2374
Phone
(410) 740-7273
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22488 MD Primary

Addresses

Primary practice location

5405 Lynx LN
Columbia, MD 21044-2374

Mailing address

5405 Lynx LN
Columbia, MD 21044-2374

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.cvs.com Maryland CVS Pharmacy LLC

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
22488MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland CVS Pharmacy LLC PastSince Jan 3, 2021 Accepting new patients
Maryland CVS Pharmacy, L.L.C. PastSince Jan 3, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1639766017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 LYNX LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 LYNX LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442374",
            "telephone_number": "410-740-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPORJI",
        "first_name": "KOSISOCHUKWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cvs.com",
            "affiliation": "Y",
            "affiliationName": "Maryland CVS Pharmacy LLC",
            "address_1": "5405 Lynx Ln",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.