XI Xu, PHARMD
Individual provider Active NPI Pharmacist · Deale, MD
NPI 1073126785 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1073126785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26324 (MD)
- Practice address
- 5809 Deale Churchton Rd
Deale, MD 20751-2203 - Phone
- (410) 867-2455
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 26324 | MD | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deale Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26324 | MD | Yes |
Addresses
Primary practice location
5809 Deale Churchton Rd
Deale, MD 20751-2203
Mailing address
10644 Chisholm Landing Ter
North Potomac, MD 20878-4263
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | h.xix46@gmail.com |
Other providers in Deale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 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.