Active NPI
Ricardo Antonio Gaitan, PHARMD
- Pharmacist
- Germantown, MD
National Provider Identifier
1124742754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28445
- Practice address
- 20908 Frederick Rd
Germantown, MD 20876-4134 - Phone
- (301) 515-0189
- NPI assigned
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 28445 | MD | Primary |
Addresses
Primary practice location
20908 Frederick Rd
Germantown, MD 20876-4134
Mailing address
7525 Brenish Dr
Gaithersburg, MD 20879-4749
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28445 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1124742754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 BRENISH DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208794749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20908 FREDERICK RD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764134",
"telephone_number": "301-515-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAITAN",
"first_name": "RICARDO",
"middle_name": "ANTONIO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.