Individual provider Active NPI

Oliver James Minall, CPHT

  • Pharmacy Technician
  • Bowie, MD
National Provider Identifier
1144665217
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T05574 Issued in MD
Practice address
15520 Annapolis Rd
Bowie, MD 20715-3002
Phone
(301) 809-3151
Fax
(301) 809-3190
NPI assigned
May 2, 2013
Last updated
May 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T05574 MD Primary

Addresses

Primary practice location

15520 Annapolis Rd
Bowie, MD 20715-3002

Mailing address

15520 Annapolis Rd
Bowie, MD 20715-3002
Phone (301) 809-3151

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
T05574MDMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1144665217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ANNAPOLIS RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153002",
            "telephone_number": "301-809-3151",
            "fax_number": "301-809-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 ANNAPOLIS RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153002",
            "telephone_number": "301-809-3151",
            "fax_number": "301-809-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINALL",
        "first_name": "OLIVER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MD",
            "license": "T05574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.