DR. FABRICE DJOUKAM (NPI# 1164036216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164036216 |
| Entity Type | Individual |
| Full Name | DR. FABRICE DJOUKAM |
| Credential | RPH |
| Practice Address |
6480 Old Waterloo Rd Elkridge MD 21075-6508 |
| Mailing Address |
3574 Powder Mill Rd Apt 203 Beltsville MD 20705-3525 |
| Practice Telephone | 4107990291 |
| Mailing Telephone | 2403817495 |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25401 | MD | Pharmacy Service Providers |
| Street Address |
6480 OLD WATERLOO RD |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457455305 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2006-09-12 |
| 1295373744 | Komal Patel | Family Medicine | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2019-12-16 |
| 1902455579 | Agil K Jose | Pharmacist | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2019-09-06 |
| 1649787011 | Vivian V Tan | Nurse Practitioner | 6480 Old Waterloo Rd, Elkridge, MD 21075 | 2018-01-05 |
| 1851835078 | Hoang-anh Tran | Pharmacist | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2016-12-06 |
| 1841667698 | Stephanie Ann Jurkovic | Pharmacist | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2015-08-27 |
| 1376952192 | Elise Bogard | Pharmacist | 6480 Old Waterloo Rd, Elkridge, MD 21075 | 2014-08-06 |
| 1104234624 | Mary Casciano | Pharmacist | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2014-07-28 |
| 1336450220 | Olufemi Otubanjo | Physician Assistant | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2010-06-25 |
| 1134452733 | Traci Jean Hammel | Nurse Practitioner | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427338052 | Jennifer Monin Furst | Pharmacist | 6950 Ducketts Ln, Elkridge, MD 21075-6160 | 2011-08-26 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1730494204 | Alex Yung | Pharmacist | 7270 Montgomery Rd, Elkridge, MD 21075-5268 | 2010-08-09 |
| 1174519110 | Gail K May | Pharmacist | 5815 Blue Sky, Elkridge, MD 21075-5979 | 2005-09-26 |
| 1518568286 | Gertrude Riedl Birzak | Pharmacist | 6020 Marshalee Dr, Elkridge, MD 21075-5935 | 2020-11-08 |
| 1568063394 | Trang Huynh | Pharmacist | 6020 Marshalee Dr, Elkridge, MD 21075-5935 | 2020-11-06 |
| 1902455579 | Agil K Jose | Pharmacist | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2019-09-06 |
| 1477067247 | Brian Clark Aston | Pharmacist | 7270 Montgomery Rd, Elkridge, MD 21075-5268 | 2017-11-30 |
| 1518470731 | Rajendra Prasad Kandel | Pharmacist | 6675 Marie Curie Dr, Elkridge, MD 21075-6457 | 2017-11-09 |
| 1245741065 | Hina Fatima Zaidi | Pharmacist | 7270 Montgomery Rd, Elkridge, MD 21075-5268 | 2017-10-19 |
| Find all providers in ELKRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.