Individual provider Active NPI

Michael Calveric, PHARMD

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1104156314
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20071 Issued in MD
Practice address
4020 Eastern Ave
Baltimore, MD 21224-4225
Phone
(410) 534-8656
Fax
(410) 534-8658
NPI assigned
Jan 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S016295 AZ
Pharmacist 183500000X 20071 MD Primary

Addresses

Primary practice location

4020 Eastern Ave
Baltimore, MD 21224-4225

Mailing address

4020 Eastern Ave
Baltimore, MD 21224-4225
Phone (410) 534-8656

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
S016295AZMDPharmacist
20071MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1104156314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244225",
            "telephone_number": "410-534-8656",
            "fax_number": "410-534-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244225",
            "telephone_number": "410-534-8656",
            "fax_number": "410-534-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERIC",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016295",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "20071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.