Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Ezennubia, PHARMD

Individual provider Pharmacist · NPI 1912553561

Justin Ezennubia, PHARMD is a Pharmacist in Charlotte, North Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2019.

Licensed in
NC, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

13845 Conlan Cir
Charlotte, NC 28277-2705
Phone: (704) 544-2092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28998 (NC)
Pharmacist Taxonomy 183500000X · Licence 42161 (SC)

Record details

NPI number1912553561
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019

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