Anh Phuong Evardo, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Halethorpe, MD
NPI 1124481023 · NPPES record last updated Mar 30, 2016
Key facts
- NPI
- 1124481023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 20810 (MD)
- Practice address
- 1701 Twin Springs Rd
Halethorpe, MD 21227-3553 - Phone
- (410) 737-5000
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20810 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 20810 | MD | Yes |
Addresses
Primary practice location
1701 Twin Springs Rd
Halethorpe, MD 21227-3553
Mailing address
7405 Matapan Dr
Hanover, MD 21076-2104
Phone (410) 440-0865
Other providers in Halethorpe, MD
- Elizabeth Ann Eckhard
- Aleia Edwards
- Gabrielle M Edwards
- Taylor English
- Equip Health Services
- Exceeding Wellness and Support Services, Inc.
- Nwamaka Tagbo Fadahunsi
- Alireza Payman Farsaii
- Latisha Flanigan
- Jennifer Fullem
All providers in Halethorpe, MD · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2016. 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.