Individual provider Active NPI

Jennifer Amoako

  • Pharmacist
  • Upper Marlboro, MD
National Provider Identifier
1740795954
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25400 Issued in MD
Practice address
28 Watkins Park Dr
Upper Marlboro, MD 20774-1628
Phone
(623) 398-4168
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25400 MD Primary

Addresses

Primary practice location

28 Watkins Park Dr
Upper Marlboro, MD 20774-1628

Mailing address

3637 Elder Oaks Blvd Apt 8206
Bowie, MD 20716-3388
Phone (623) 398-4168

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1740795954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 ELDER OAKS BLVD APT 8206",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163388",
            "telephone_number": "623-398-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WATKINS PARK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741628",
            "telephone_number": "623-398-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOAKO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.