Healthcare Provider Details

I. General information

NPI: 1285916544
Provider Name (Legal Business Name): CHINENYE GEORGINA ANGLIN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST # 4829
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

306 W REDWOOD ST # 4829
BALTIMORE MD
21201-1708
US

V. Phone/Fax

Practice location:
  • Phone: 703-829-6179
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202221804
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26026848A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100003278
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20175
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: