Active NPI
Bonnie Li-Macdonald, PHARMD
- Pharmacist
- Upper Marlboro, MD
National Provider Identifier
1073928131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22415
- Practice address
- 1221 Mercantile LN
Upper Marlboro, MD 20774-5374 - Phone
- (301) 618-5500
- NPI assigned
- Jun 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 22415 | MD | Primary |
Addresses
Primary practice location
1221 Mercantile LN
Upper Marlboro, MD 20774-5374
Mailing address
10810 Connecticut Ave
Kensington, MD 20895-2138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22415 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1073928131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 CONNECTICUT AVE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MERCANTILE LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745374",
"telephone_number": "301-618-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI-MACDONALD",
"first_name": "BONNIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.