Raphael Agbor-Enoh, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP455362 Issued in PA

Practice address

214 Testaverde Rd
Newark, DE 19702-4558

Phone

(775) 378-8673

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1912630625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 TESTAVERDE RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024558",
            "telephone_number": "775-378-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 TESTAVERDE RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024558",
            "telephone_number": "775-378-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOR-ENOH",
        "first_name": "RAPHAEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP455362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reynold S Agard, M.D.
• Inongo D. Agbormbai, DO
• Awanwosa Valentine Agho, MD
• Janelle Agnew, APRN, PMHNP-BC
• Demetrios J Agriantonis, MD
• Mansoor Ahmad, MD

• Pharmacist in Newark, DE
• Providers in Newark, DE by specialty
• Pharmacist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.