Constance Ijang Ambele
Pharmacist in Fort Washington, MD. Individual provider (NPI-1).
NPI number1467054064
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1467054064
- Entity type
- Individual (NPI-1)
- Name
- Constance Ijang Ambele
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 10, 2020
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 | 26134 | MD | Yes |
Practice location
9507 Livingston RdFort Washington, MD 20744-4919
Phone 301-248-1333
Mailing address
10111 Marguerita AveGlenn Dale, MD 20769-7502
Phone 240-435-9709
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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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