Healthcare Provider Details

I. General information

NPI: 1376903922
Provider Name (Legal Business Name): CHANTAL SYLVIE NKANGNIA-NJOMO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHANTAL SYLVIE NKANGNIA-NJOMO RPH

II. Dates (important events)

Enumeration Date: 02/24/2016
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-2522
US

IV. Provider business mailing address

2910 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-2522
US

V. Phone/Fax

Practice location:
  • Phone: 202-988-3863
  • Fax: 202-998-2606
Mailing address:
  • Phone: 202-988-3863
  • Fax: 202-998-2606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100001950
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: