Healthcare Provider Details

I. General information

NPI: 1538057872
Provider Name (Legal Business Name): DR. KINGSLEY OKOJIE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 HARFORD RD
BALTIMORE MD
21218-5538
US

IV. Provider business mailing address

2222 HARFORD RD
BALTIMORE MD
21218-5538
US

V. Phone/Fax

Practice location:
  • Phone: 410-366-0054
  • Fax:
Mailing address:
  • Phone: 410-366-0054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17435
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: