Individual provider Active NPI

Emmanuel Jumbo Isong

  • Pharmacist
  • Washington, DC
National Provider Identifier
1801117965
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA23875 Issued in DC
Practice address
3000 Connecticut Ave NW
Washington, DC 20008-2509
Phone
(202) 265-1300
Fax
(202) 234-5832
NPI assigned
Jun 11, 2010
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA23875 DC Primary
Pharmacist 183500000X 11227 MD

Addresses

Primary practice location

3000 Connecticut Ave NW
Washington, DC 20008-2509

Mailing address

608 Garden View SQ
Rockville, MD 20850-6099
Phone (301) 527-6934

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
PHA23875DCMDPharmacist
11227MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1801117965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GARDEN VIEW SQ",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506099",
            "telephone_number": "301-527-6934",
            "fax_number": "301-527-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082509",
            "telephone_number": "202-265-1300",
            "fax_number": "202-234-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISONG",
        "first_name": "EMMANUEL",
        "middle_name": "JUMBO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PHA23875",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.