Emanga Ekinde, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

124173 Issued in MN

Practice address

2795 Pilot Knob Rd
Eagan, MN 55121-1176

Phone

(651) 846-9245

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1922647833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8593 SAVANNA OAKS LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259611",
            "telephone_number": "651-600-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 PILOT KNOB RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211176",
            "telephone_number": "651-846-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKINDE",
        "first_name": "EMANGA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "2795 Pilot Knob Rd",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551211176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Warren Eide, CNP
• Alysa Marie Eimermann
• Steven S Eisenberg, M.D.
• Jennifer L. Eisenhuth, D.D.S, M.S., P.A.
• Kathryn Susan Eisenmenger Fuentes, PA
• Elevate Behavioral Health, LLC
• Jason Donald Ellenbecker, OTC
• Elizabeth Elliott
• Jana Elliott
• Cameron Ellis

• Pharmacist in Eagan, MN
• Providers in Eagan, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.