Active NPIIndividual provider

Mmoa T Agbere, PHARMD

Pharmacist in Bronx, New York

NPI Number1326366634
Practice location
542 Southern Blvd, Bronx, NY 10455-3715
Fax
718-665-1044
Last updated
May 11, 2010

Mmoa Tchoni Agbere is a Pharmacist based in Bronx, NY. Mmoa Tchoni Agbere practices in Bronx, NY and has the professional credentials of PHARMD. The NPI Number for Mmoa Tchoni Agbere is 1326366634 and holds a License No. 050561 (NY). The current practice location address for Mmoa Tchoni Agbere is 542 Southern Blvd, Bronx, NY 10455-3715 and can be reached out via phone at 718-665-6771 and via fax at 718-665-1044.

Provider Profile Details

NPI Number
1326366634
Provider Name
Mmoa Tchoni Agbere
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
542 Southern Blvd, Bronx, NY 10455-3715
Phone Number
718-665-6771
Fax Number
718-665-1044
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2010
Last Update Date
May 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
542 Southern Blvd
Bronx, NY 10455-3715
City
Bronx
Zip
10455-3715
Phone Number
718-665-6771
Fax Number
718-665-1044
Bronx, NY 10455Get directions →

Provider Business Mailing Address Details

Address
77 Park St
Stratford, CT 06614-4051
City
Stratford
State
CT
Zip
06614-4051
Phone Number
203-870-4636
Fax Number
718-665-6771

License Information

License Number (1)
050561
License State (1)
NY
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
0010935
License State (2)
CT
Taxonomy (2)
Pharmacist · 183500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mmoa T Agbere, PHARMD?

The NPI number of Mmoa T Agbere, PHARMD is 1326366634. It was assigned on May 11, 2010 and is currently active in the NPPES registry.

What is the specialty of Mmoa T Agbere, PHARMD?

Mmoa T Agbere, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 050561.

Where does Mmoa T Agbere, PHARMD practice?

The practice location is 542 Southern Blvd, Bronx, NY 10455-3715. The office can be reached at 718-665-6771 (phone) or 718-665-1044 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326366634 directly on the NPPES registry website.

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