Individual provider Active NPI

Candace Bintrim

  • Pharmacist
  • Chesapeake Beach, MD
National Provider Identifier
1124421730
Registry record updated Sep 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10590 Issued in MD
Practice address
7955 Bayside Rd
Chesapeake Beach, MD 20732-3112
Phone
(410) 257-2050
NPI assigned
Sep 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10590 MD Primary

Addresses

Primary practice location

7955 Bayside Rd
Chesapeake Beach, MD 20732-3112

Mailing address

7955 Bayside Rd
PO Box 310
Chesapeake Beach, MD 20732-3112
Phone (410) 257-2050

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

LicenseStateTypeSpecialty
10590MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411862400000",
    "number": "1124421730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 BAYSIDE RD",
            "address_2": "PO BOX 310",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323112",
            "telephone_number": "410-257-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 BAYSIDE RD",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323112",
            "telephone_number": "410-257-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINTRIM",
        "first_name": "CANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "10590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake Beach, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.