Individual provider Active NPI

Sharon Chidinma Ihezue

  • Pharmacist
  • Beltsville, MD
National Provider Identifier
1700281474
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22913 Issued in MD
Practice address
10456 Baltimore Ave
Beltsville, MD 20705-2321
Phone
(301) 937-4020
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22913 MD Primary
Pharmacist 183500000X 0202213479 VA

Addresses

Primary practice location

10456 Baltimore Ave
Beltsville, MD 20705-2321

Mailing address

7801 Mandan Rd
Apartment 102
Greenbelt, MD 20770-2133
Phone (240) 264-9201

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
22913MDMDClinical Social Worker
0202213479VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1700281474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 MANDAN RD",
            "address_2": "APARTMENT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702133",
            "telephone_number": "240-264-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10456 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052321",
            "telephone_number": "301-937-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEZUE",
        "first_name": "SHARON",
        "middle_name": "CHIDINMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22913",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.