Active NPI
Lini Mathew
- Pharmacist
- Aberdeen, MD
National Provider Identifier
1124339312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18164
- Practice address
- 1014 Beards Hill Rd
Aberdeen, MD 21001-2230 - Phone
- (410) 272-7000
- Fax
- (410) 272-7527
- NPI assigned
- Jun 23, 2010
- 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 | 18164 | MD | Primary |
Addresses
Primary practice location
1014 Beards Hill Rd
Aberdeen, MD 21001-2230
Mailing address
1209 Chelmsford CT
Abingdon, MD 21009-1065
Phone (718) 343-6201
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18164 | MD | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1124339312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 CHELMSFORD CT",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091065",
"telephone_number": "718-343-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 BEARDS HILL RD",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012230",
"telephone_number": "410-272-7000",
"fax_number": "410-272-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "LINI",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.