Shaun Angadi
Individual provider Active NPI Pharmacist · Westminster, MD
NPI 1104489806 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1104489806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23997 (MD)
- Practice address
- 200 Malcolm Dr
Westminster, MD 21157-6110 - Phone
- (410) 848-2152
- NPI assigned
- Apr 17, 2019
- Reactivated
- Nov 18, 2020
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23997 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23997 | MD | Yes |
Addresses
Primary practice location
200 Malcolm Dr
Westminster, MD 21157-6110
Mailing address
200 Malcolm Dr
Westminster, MD 21157-6110
Phone (410) 848-2152
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 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.