Kathleen Heng
Individual provider Active NPI Pharmacist · Colesville, MD
NPI 1003419508 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1003419508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14609 (MD)
- Practice address
- 13490 New Hampshire Ave
Colesville, MD 20904-1224 - Phone
- (301) 384-2228
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14609 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past |
Accepting new patients | |
| Giant of Maryland LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14609 | MD | Yes |
Addresses
Primary practice location
13490 New Hampshire Ave
Colesville, MD 20904-1224
Mailing address
1716 Ladd St
Silver Spring, MD 20902-3523
Other providers in Colesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.