Individual provider Active NPI

Emmanuel Ayanjoke, PHARMD

  • Pharmacist
  • Dayton, OH
National Provider Identifier
1821604109
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03440097 Issued in OH
Practice address
1130 W 3Rd St
Dayton, OH 45402-6812
Phone
(937) 225-9350
Fax
(937) 225-9355
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03440097 OH Primary

Addresses

Primary practice location

1130 W 3Rd St
Dayton, OH 45402-6812

Mailing address

4023 Hollyhock LN
Maumee, OH 43537-9240
Phone (141) 934-4439

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
03440097OHMDPharmacist

Interoperability endpoints

  • Direct secure messaging: eayanjoke@ziksf300.himndirect.health

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1821604109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 HOLLYHOCK LN",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379240",
            "telephone_number": "141-934-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026812",
            "telephone_number": "937-225-9350",
            "fax_number": "937-225-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYANJOKE",
        "first_name": "EMMANUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.