Active NPI
Valentine Neba
- Pharmacist
- La Plata, MD
National Provider Identifier
1003420480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27498
- Practice address
- 6300 Crain Hwy
La Plata, MD 20646-4259 - Phone
- (301) 392-6116
- NPI assigned
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27498 | MD | Primary |
Addresses
Primary practice location
6300 Crain Hwy
La Plata, MD 20646-4259
Mailing address
12123 Elmwood Dr
Brandywine, MD 20613-5729
Phone (859) 227-5561
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Pharmacy | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27498 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1003420480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12123 ELMWOOD DR",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206135729",
"telephone_number": "859-227-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 CRAIN HWY",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206464259",
"telephone_number": "301-392-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBA",
"first_name": "VALENTINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27498",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Pharmacy",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6300 Crain Hwy",
"city": "LA Plata",
"state": "MD",
"country_code": "US",
"postal_code": "206464259",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.