Christelle Bibo-Ekodi, PHARMD

Individual provider Active NPI Pharmacist · North Falmouth, MA

NPI 1710697339 · NPPES record last updated Dec 5, 2022

Key facts

NPI
1710697339
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH241187 (MA)
Practice address
111 County Rd
North Falmouth, MA 02556-2019
Phone
(508) 564-4459
Fax
(508) 564-6172
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH241187MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Falmouth Pharma LLC Past
since Dec 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH241187 MA Yes

Addresses

Primary practice location

111 County Rd
North Falmouth, MA 02556-2019

Mailing address

111 County Rd
North Falmouth, MA 02556-2019
Phone (508) 564-4459

Other providers in North Falmouth, MA

All providers in North Falmouth, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.