Active NPI
Robert Okwemba, PHARMD
- Ambulatory Care Pharmacist
- Baltimore, MD
National Provider Identifier
1720435522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 23478
- Practice address
- 9519 Philadelphia Rd
Baltimore, MD 21237-4105 - Phone
- (410) 238-1071
- NPI assigned
- May 21, 2016
- Last updated
- May 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0004777 | DE | |
| Ambulatory Care Pharmacist | 1835P2201X | 23478 | MD | Primary |
Addresses
Primary practice location
9519 Philadelphia Rd
Baltimore, MD 21237-4105
Mailing address
9519 Philadelphia Rd
Baltimore, MD 21237-4105
Phone (410) 238-1071
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0004777 | DE | MD | Pharmacist |
| 23478 | MD | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | 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": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1720435522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9519 PHILADELPHIA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374105",
"telephone_number": "410-238-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9519 PHILADELPHIA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374105",
"telephone_number": "410-238-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKWEMBA",
"first_name": "ROBERT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-21",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0004777",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MD",
"license": "23478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.