MEDICARE: DR. RONALD JOSEPH ESSINGTON PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26016759	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386836930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD JOSEPH ESSINGTON PHARM D

Provider Business Mailing Address
First Line	:	10836 FAIRWOODS DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-8804
Country	:	US
Telephone Number	:	317-576-0939
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 W MAIN ST
Second Line	:
City	:	GREENTOWN
State	:	IN
Zip	:	46936-1045
Country	:	US
Telephone Number	:	765-628-3446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	08/16/2007

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