Healthcare Provider Details

I. General information

NPI: 1669252573
Provider Name (Legal Business Name): BRIAN N. NJOROGE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 09/29/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 EASTERN BLVD
ESSEX MD
21221
US

IV. Provider business mailing address

517 FUSELAGE AVE
ESSEX MD
21221-3276
US

V. Phone/Fax

Practice location:
  • Phone: 410-238-2607
  • Fax:
Mailing address:
  • Phone: 443-800-2366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29359
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: