Individual provider Active NPI

Sidonie Josiane Sokoudjou Takougang, PHARMD

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1760984397
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25441 Issued in MD
Practice address
3935 Erdman Ave
Baltimore, MD 21213-2004
Phone
(410) 342-2606
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25441 MD Primary

Addresses

Primary practice location

3935 Erdman Ave
Baltimore, MD 21213-2004

Mailing address

8323 Old Frederick Rd
Ellicott City, MD 21043-1913
Phone (443) 248-8359

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

LicenseStateTypeSpecialty
25441MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1760984397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 OLD FREDERICK RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431913",
            "telephone_number": "443-248-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 ERDMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132004",
            "telephone_number": "410-342-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOUDJOU TAKOUGANG",
        "first_name": "SIDONIE",
        "middle_name": "JOSIANE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25441",
            "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 Feb 28, 2018; 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.