Provider Demographics
NPI:1952601551
Name:KEMNGANG, PAMELA AMINDEH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:AMINDEH
Last Name:KEMNGANG
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 ROCKVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1136
Mailing Address - Country:US
Mailing Address - Phone:301-340-2683
Mailing Address - Fax:
Practice Address - Street 1:13307 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3435
Practice Address - Country:US
Practice Address - Phone:301-384-0487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28577183500000X
VAHCO-11688374U00000X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Yes183500000XPharmacy Service ProvidersPharmacist
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide