NPIMap

Individual provider Active NPI

Uche Moses Etunnuh, PHARM.D

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1801205083
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21726 Issued in MD
Practice address
3307 Fairview Rd
Baltimore, MD 21207-4509
Phone
(443) 415-6313
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21726 MD Primary

Addresses

Primary practice location

3307 Fairview Rd
Baltimore, MD 21207-4509

Mailing address

3307 Fairview Rd
Baltimore, MD 21207-4509
Phone (443) 415-6313

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
21726MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health Services LLC Current Accepting new patients
Geipe Pharmacy LLC Current Accepting new patients
Frontier Health Services LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1801205083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 FAIRVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074509",
            "telephone_number": "443-415-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 FAIRVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074509",
            "telephone_number": "443-415-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETUNNUH",
        "first_name": "UCHE",
        "middle_name": "MOSES",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21726",
            "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 Aug 12, 2014; 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.