Provider Demographics
NPI:1447058995
Name:AKUNJI, KHADIZA
Entity type:Individual
Prefix:
First Name:KHADIZA
Middle Name:
Last Name:AKUNJI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 KINGSTON PL APT 1
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2780
Mailing Address - Country:US
Mailing Address - Phone:347-545-8728
Mailing Address - Fax:
Practice Address - Street 1:17520 HILLSIDE AVE STE 1
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5732
Practice Address - Country:US
Practice Address - Phone:718-262-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist