NPIMap

Individual provider Active NPI

Paul J NA, PHARM D.

  • Pharmacist
  • Columbia, MD
National Provider Identifier
1144244492
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12137 Issued in MD
Practice address
10805 Hickory Ridge Rd
Suite 2
Columbia, MD 21044-3626
Phone
(410) 964-6409
Fax
(410) 964-6493
NPI assigned
Jul 27, 2006
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12137 MD Primary

Addresses

Primary practice location

10805 Hickory Ridge Rd
Suite 2
Columbia, MD 21044-3626

Mailing address

10805 Hickory Ridge Rd
Suite 2
Columbia, MD 21044-3626
Phone (410) 964-6409

Other practice location 1

10194 Baltimore National Pike Ste 11
Ellicott City, MD 21042-3653
Phone (443) 803-4634

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

LicenseStateTypeSpecialty
12137MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Hickory Pharmacy Inc Current Accepting new patients
Ellicott City Pharmacy Inc Current Accepting new patients
Ellicott City Pharmacy Inc Current Accepting new patients

Locations

10805 Hickory Ridge Rd
Ste 2
Columbia, MD 21044
Phone (410) 964-5409

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1144244492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 HICKORY RIDGE RD",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443626",
            "telephone_number": "410-964-6409",
            "fax_number": "410-964-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 HICKORY RIDGE RD",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443626",
            "telephone_number": "410-964-6409",
            "fax_number": "410-964-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10194 Baltimore National Pike Ste 11",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423653",
            "country_code": "US",
            "telephone_number": "443-803-4634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NA",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "12137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.