Gyl Marceline Aengwanama
Pharmacist in Louisville, KY. Individual provider (NPI-1).
NPI number1023966355
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1023966355
- Entity type
- Individual (NPI-1)
- Name
- Gyl Marceline Aengwanama
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2026
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 021061 | KY | Yes |
Practice location
2222 Bardstown RdLouisville, KY 40205-1918
Phone 502-459-6563
Mailing address
18007 Brightleaf PlFisherville, KY 40023-7730
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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