Active NPI
Ebai Helene Etta Kamsu Nasah
- Pharmacist
- Denton, MD
National Provider Identifier
1932865896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28355
- Practice address
- 21 Denton PLZ
Denton, MD 21629-9501 - Phone
- (302) 226-0220
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73960 | TX | |
| Pharmacist | 183500000X | 28355 | MD | Primary |
Addresses
Primary practice location
21 Denton PLZ
Denton, MD 21629-9501
Mailing address
21 Denton PLZ
Denton, MD 21629-9501
Phone (410) 479-1771
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 |
|---|---|---|---|
| 73960 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1932865896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 DENTON PLZ",
"city": "DENTON",
"state": "MD",
"postal_code": "216299501",
"telephone_number": "410-479-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 DENTON PLZ",
"city": "DENTON",
"state": "MD",
"postal_code": "216299501",
"telephone_number": "302-226-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMSU NASAH",
"first_name": "EBAI",
"middle_name": "HELENE ETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73960",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.