Individual provider Active NPI

Amakoe Lene Ajavon

  • Pharmacist
  • Salisbury, MD
National Provider Identifier
1811380470
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23126 Issued in MD
Practice address
704 Edgewater Dr
Apt 102
Salisbury, MD 21804-3600
Phone
(443) 365-0278
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23126 MD Primary

Addresses

Primary practice location

704 Edgewater Dr
Apt 102
Salisbury, MD 21804-3600

Mailing address

704 Edgewater Dr
Apt 102
Salisbury, MD 21804-3600
Phone (443) 365-0278

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
23126MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaford Health Services LLC Current Accepting new patients

Organizations & group practices 1

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1811380470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 EDGEWATER DR",
            "address_2": "APT 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043600",
            "telephone_number": "443-365-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 EDGEWATER DR",
            "address_2": "APT 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043600",
            "telephone_number": "443-365-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAVON",
        "first_name": "AMAKOE",
        "middle_name": "LENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.