Vera Bong Sangbong

Primary specialty

PharmacistTaxonomy code 183500000X

License

12373 Issued in MD

Practice address

9807 Main Street
Damascus, MD 20872

Phone

(301) 391-6150

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1013297084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 HOLLAND MEADOW LN",
            "city": "LAYTONSVILLE",
            "state": "MD",
            "postal_code": "208821235",
            "telephone_number": "240-793-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 MAIN STREET",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "20872",
            "telephone_number": "301-391-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGBONG",
        "first_name": "VERA",
        "middle_name": "BONG",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "12373",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202010513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Roche, PTA
• Dennis Allen Rochester, P.A.-C
• Koury Rofayel
• Gregg Salem, PHD
• Miranda Sanborn, CRNP
• Jattu Conima Senesie, M.D.
• Vicki Seraphim, M.SC., CCC-SLP
• Malvika Sharma, MD
• Dominique Nicole Shaw, WHNP-BC
• Erik Sheffer

• Pharmacist in Damascus, MD
• Providers in Damascus, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.