Kianath Azaz, PHARMD
Individual provider Active NPI Pharmacist · Easton, MD
NPI 1013783588 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1013783588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 29560 (MD)
- Practice address
- 503 Cynwood Dr Ste 1
Easton, MD 21601-3869 - Phone
- (410) 822-3700
- Fax
- (410) 820-9057
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29560 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29560 | MD | Yes |
Addresses
Primary practice location
503 Cynwood Dr Ste 1
Easton, MD 21601-3869
Mailing address
5507 E Nithsdale Dr
Salisbury, MD 21801-2464
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. 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.