DR. GEORGE E FONJUNGO (NPI# 1225447360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225447360 |
| Entity Type | Individual |
| Full Name | DR. GEORGE E FONJUNGO |
| Credential | MPHARM, PHARMD, RPH |
| Practice Address |
702 Edgewood Rd Edgewood MD 21040-2400 |
| Mailing Address |
5512 Axton Ct Lanham MD 20706-2050 |
| Practice Telephone | 4106719780 |
| Mailing Telephone | 2402744613 |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 037720-1 | NY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 27894 | TX | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0202010285 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 11344 | MD | Pharmacy Service Providers |
| Street Address |
702 EDGEWOOD RD |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336468438 | Anupama Garlapati | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2010-05-28 |
| 1346764057 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2017-08-03 |
| 1568983146 | Chibuzo Nwachukwu | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2017-07-04 |
| 1881143485 | Tiffany Carter | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2016-09-25 |
| 1114474848 | Helen Huang | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2016-09-11 |
| 1194163428 | Charles Clendenin | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2013-06-09 |
| 1962772525 | Omowunmi Maureen Anibaba | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2012-01-12 |
| 1699083485 | Krishna K Mattaparthi | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| 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 |
|---|---|---|---|---|
| 1619592318 | Katelyn Bell | Pharmacist | 20 Medical Village Dr Ste 103, Edgewood, KY 41017-5404 | 2020-06-09 |
| 1255798674 | Michael Faulhaber | Pharmacist | 3076 Prestwicke Dr, Edgewood, KY 41017-8100 | 2016-01-16 |
| 1528468279 | Patricia Kinney | Pharmacist | 3071 Dixie Hwy, Edgewood, KY 41018-1829 | 2014-08-31 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1881001113 | Damian Smoot | Pharmacist | 1013 Woodbridge Center Way, Edgewood, MD 21040-3836 | 2014-07-18 |
| 1205246956 | Oluseyi Yewande Sanni | Pharmacist | 1213 Hall St, Edgewood, MD 21040-1105 | 2014-05-03 |
| 1013203066 | Jenka'a Cecile Dzekashu | Pharmacist | 316 Ahern Dr, Edgewood, MD 21040-3400 | 2011-06-28 |
| 1336468438 | Anupama Garlapati | Pharmacist | 702 Edgewood Rd, Edgewood, MD 21040-2400 | 2010-05-28 |
| 1194903633 | Tracy Reuter | Pharmacist | 4813 121st Ave E, Edgewood, WA 98372 | 2008-02-07 |
| 1356566590 | Reid Rowe | Pharmacist | 2b State Road 344, Edgewood, NM 87015-6849 | 2007-04-14 |
| Find all providers in EDGEWOOD | ||||
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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.