NSIKAK RICHARD EKANEM


Address: 2121 Lake Ave, Fort Wayne, IN 46805-5100
Phone: 2604265431

NSIKAK RICHARD EKANEM (NPI# 1912436221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912436221
Entity Type Individual
Full Name NSIKAK RICHARD EKANEM
Credential PHARMD
Practice Address 2121 Lake Ave
Fort Wayne
IN 46805-5100
Mailing Address 7950 W Jefferson Blvd
Fort Wayne
IN 46804-4140
Practice Telephone 2604265431
Mailing Telephone 2604352568
Enumeration Date 2017-06-08
Last Update Date 2017-06-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P2201X Pharmacist
Specialization: Ambulatory Care
26026880A IN Pharmacy Service Providers

Office Location

Street Address 2121 LAKE AVE
City FORT WAYNE
State IN
Zip Code 46805-5100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021100 Karen F Sloane Podiatrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2005-05-24
1346848348 Jodi Lyn Van Veld Occupational Therapist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-10-12
1346854213 Amy Solaro Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-09-08
1144831116 Ann Marie Brunner Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-13
1871104042 Lynne Koch Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-12
1790396950 Joseph Amin Samy Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-12
1144831678 Youlijan Samy Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-10
1881204139 Lawrence Ejiofo Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-03
1821606575 Nazret Tecle Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-07-20
1689291619 Adam Kreiger Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
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Taxonomy Information

Taxonomy Code 1835P2201X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Ambulatory Care

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467059386 Karen Pawlak Pharmacist 7502 Southtown Xing, Fort Wayne, IN 46816-2515 2020-10-04
1346889938 Sarah Lynn Quick Pharmacist 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 2019-12-30
1023596350 Maryam Noureldin Pharmacist 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2018-07-30
1770061186 Christine Marie Itt Pharmacist 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2018-07-30
1831676576 Rosanne Wuthrich Pharmacist 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2018-07-25
1912493875 Rachel Kasper Pharmacist 10627 Diebold Rd, Fort Wayne, IN 46845-8606 2018-07-03
1538680152 Rachel Steele Pharmacist 5693 Ymca Park Dr W, Fort Wayne, IN 46835-3280 2017-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023618857 Carol Chan Pharmacist 7905 Calumet Ave Fl 3, Munster, IN 46321-2549 2020-10-30
1780218693 Charlotte Wilson Pharmacist 889 N Gospel St Ste 2, Paoli, IN 47454-9804 2020-02-29
1831745470 Mackenzie Margaret Farrar Pharmacist 9650 E Washington St # 100, Indianapolis, IN 46229-3032 2019-08-09
1760907315 Lisa Ann Mueller Pharmacist 10122 E 10th St Ste 210, Indianapolis, IN 46229-2664 2017-08-04
1013439090 Lauren Kenning Pharmacist 1565 Saylor St, Zionsville, IN 46077-1842 2017-07-12
1306390505 Kimberly Simmons Pharmacist 7716 Eagle Crescent Dr, Zionsville, IN 46077-4505 2016-08-05
1134729189 Anna-maureen Aladejebi Pharmacist 4205 Commerce Dr, Lafayette, IN 47905-3800 2020-10-29
1013516079 Ricky James King Pharmacist 1494 W Main St, Mitchell, IN 47446-9493 2020-10-21
1184233272 Camala Murray I Pharmacist 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 2020-07-24
1063020527 Nicolaus Daum Pharmacist 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 2020-07-21
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Competitor

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City FORT WAYNE
Zip Code 46805

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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