Individual provider Active NPI

Shawn Opel, PHARMD

  • Pharmacist
  • Lavale, MD
National Provider Identifier
1063811313
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18408 Issued in MD
Practice address
12500 Country Club Mall Rd
Lavale, MD 21502-7553
Phone
(301) 729-5088
Fax
(301) 729-5256
NPI assigned
Aug 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18408 MD Primary

Addresses

Primary practice location

12500 Country Club Mall Rd
Lavale, MD 21502-7553

Mailing address

12500 Country Club Mall Rd
Lavale, MD 21502-7553
Phone (301) 729-5088

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18408MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1063811313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 COUNTRY CLUB MALL RD",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027553",
            "telephone_number": "301-729-5088",
            "fax_number": "301-729-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 COUNTRY CLUB MALL RD",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027553",
            "telephone_number": "301-729-5088",
            "fax_number": "301-729-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPEL",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.