NPI 1255679585 · live from the CMS NPI Registry
Israel C Agwamba, RPh
Pharmacist in Washington, DC. National Provider Identifier 1255679585, active.
NPI record
| NPI | 1255679585 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 3180 Bladensburg Rd, Washington, DC 20018 |
| Practice phone | 202-269-0000 |
| Mailing address | 11219 Snowden Pond Rd, Laurel, MD 20708 |
| Enumerated | January 22, 2013 |
| Last updated | January 22, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | PH3254 (DC) |
| Pharmacist primary | 183500000X | 13868 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.