DR. AGBONLUAI EMMANUEL ATTA (NPI# 1295345973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295345973 |
| Entity Type | Individual |
| Full Name | DR. AGBONLUAI EMMANUEL ATTA |
| Practice Address |
211 Graiden St Upper Marlboro MD 20774-1817 |
| Practice Telephone | 3014047446 |
| Mailing Telephone | 3014047446 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25688 | MD | Pharmacy Service Providers |
| Street Address |
211 GRAIDEN ST |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| 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 |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1962940940 | Farrah R Murray | Pharmacist | 7600 Se Old Crain Highway, Upper Marlboro, MD 20772-4232 | 2017-02-09 |
| 1356796320 | Paulette Allen | Pharmacist | 3303 Asher St, Upper Marlboro, MD 20772-6826 | 2016-04-27 |
| 1699144378 | Oluremi Abayomi | Pharmacist | 28 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | 2015-09-23 |
| 1245608397 | Okechukwu Casmir Oboh | Pharmacist | 425 Dennis Magruder Dr, Upper Marlboro, MD 20774-2104 | 2015-09-07 |
| 1043695950 | Sandy Apugo | Pharmacist | 10203 Brightfield Ln, Upper Marlboro, MD 20772-2407 | 2015-07-22 |
| 1518347111 | Noreen Debra Dunlap | Pharmacist | 9808 Sandpiper Dr, Upper Marlboro, MD 20772-4763 | 2015-06-09 |
| 1417361742 | Kerry Cormier | Pharmacist | 10692 Campus Way S, Cvs Regional Business Office, Upper Marlboro, MD 20774-1307 | 2014-06-14 |
| 1053731877 | Richmond Muraguri | Pharmacist | 9530 Crain Hwy, Upper Marlboro, MD 20772-5424 | 2014-04-19 |
| 1114281474 | Violet Igwacho | Pharmacist | 28 Watkins Dr, Upper Marlboro, MD 20774 | 2012-07-01 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on DR. AGBONLUAI EMMANUEL ATTA.
| 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.