{
"Npi": {
"NPI": "1306741764",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ACONOT PHARMACY LLC",
"ParentOrgTIN": null,
"OrgName": "ACONOT PHARMACY LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "425 DENNIS MAGRUDER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UPPER MARLBORO",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20774-2104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-505-1658",
"MailingAddressFaxNumber": "301-808-5050",
"FirstLinePracticeLocationAddress": "619 PENNSYLVANIA AVE SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
"PracticeLocationAddressPostalCode": "20003-4303",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-505-1658",
"PracticeLocationAddressFaxNumber": "301-808-5050",
"EnumerationDate": "10/13/2026",
"LastUpdateDate": "10/13/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OBOH",
"AuthorizedOfficialFirstName": "OKECHUKWU",
"AuthorizedOfficialMiddleName": "CASMIR",
"AuthorizedOfficialTitle": "OWNER/PHARMACIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "240-505-1658",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}