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

Mr. Felix F. Etebom, BSBSPHARM

Individual provider Nutrition Support Pharmacist · NPI 1376863183

Mr. Felix F. Etebom, BSBSPHARM is a Nutrition Support Pharmacist in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2010
Specialties on file
5

Practice location Address checks out

13202 Steeplechase Dr
Bowie, MD 20715-4542
Phone: (301) 352-2514
Fax: (301) 805-0664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13780 (MD)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence 13780 (MD)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 13780 (MD)
Geriatric Pharmacist Taxonomy 1835G0303X · Licence 13780 (MD)
Pharmacotherapy Pharmacist Taxonomy 1835P1200X · Licence 13780 (MD)

Record details

NPI number1376863183
Entity typeIndividual (Type 1)
GenderMale
Credentials BSBSPHARM
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022