DR. MARDI GRAS NANYONGO ETCHI-BANYI
NPI 1154673150
Pharmacist in Berrien Springs, MI

Q: What is Mardi Gras Etchi-banyi's NPI number?

The NPI number for Mardi Gras Etchi-banyi is 1154673150. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Q: What is Mardi Gras Etchi-banyi's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since October 15, 2012

612 SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103(301) 377-6096(269) 473-2566 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Mardi Gras Nanyongo Etchi-banyi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARDI GRAS NANYONGO ETCHI-BANYI (NPI 1154673150) is an individual pharmacist in Berrien Springs, Michigan, licensed in Michigan (5302047702) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1154673150

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. MARDI GRAS NANYONGO ETCHI-BANYI

Location Address612 SAINT JOSEPH AVEBerrien Springs, MI 49103-1603

Mailing Address9766 Rosehill Rd Apt I51Berrien Springs, MI 49103-2221 · (301) 377-6096 · Fax (269) 473-2566

Phone(301) 377-6096

Fax(269) 473-2566

Sole ProprietorYes

Enumeration DateOctober 15, 2012

Last NPPES UpdateApril 17, 2019

✔ NPI 1154673150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MI · 5302047702

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Also ListedHome Health AideTaxonomy 374U00000X

612 SAINT JOSEPH AVE, Berrien Springs, MI 49103

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARLEY SUE CHILDERS

Pharmacy Technician