Kingsley Enohebob Enonjang, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

22999 Issued in NC

Practice address

1144 Tommys Rd
Goldsboro, NC 27534-7978

Phone

(919) 988-6038

Fax

(919) 988-6039

NPI assigned

Feb 16, 2017

Last updated

Feb 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-7340

  • Community/Retail Pharmacy
  • Goldsboro, NC
  • NPI 1225422009
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1902345580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 MATINVESI ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168497",
            "telephone_number": "832-264-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 TOMMYS RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347978",
            "telephone_number": "919-988-6038",
            "fax_number": "919-988-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENONJANG",
        "first_name": "KINGSLEY",
        "middle_name": "ENOHEBOB",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "22999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "22999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encore Pediatric Therapy, PLLC
• Encouraging Hearts Non-Emergency Medical Transportation ,LLC.
• Encouraging Hearts, LLC.
• Endoscopy Center of Goldsboro LLC
• Megan English, FNP-C
• Envisions of Life, LLC
• Adrian Aryeh Epstein, M.D. PH.D.
• Erin a Smith DDS PA (Goldsboro Pediatric Dentistry & Orthodontics)
• Edward O Erkes, D.D.S.
• Astrid Ertola, PH.D.

• Ambulatory Care Pharmacist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Ambulatory Care Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.