Active NPI
Ernest Obidike
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1851715288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16802
- Practice address
- 1411 E West Hwy
Silver Spring, MD 20910-2836 - Phone
- (301) 563-6935
- NPI assigned
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16802 | MD | Primary |
Addresses
Primary practice location
1411 E West Hwy
Silver Spring, MD 20910-2836
Mailing address
10215 Bald Hill Rd
Mitchellville, MD 20721-2837
Phone (301) 275-4457
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16802 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deacc Medical 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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Lanham, MD
- NPI 1144773128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1851715288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 BALD HILL RD",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207212837",
"telephone_number": "301-275-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 E WEST HWY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209102836",
"telephone_number": "301-563-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIDIKE",
"first_name": "ERNEST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.