Active NPI
Angela Joan Addison, PHARMD
- Pharmacist
- Bear, DE
National Provider Identifier
1154086437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0015609
- Practice address
- 300 Eden Cir
Bear, DE 19701-4303 - Phone
- (302) 832-0156
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bear, DE
- NPI 1366475618
-
- Community/Retail Pharmacy
- Parkville, MD
- NPI 1639938020
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 |
|---|---|---|---|
| A1-0015609 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0015609 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
300 Eden Cir
Bear, DE 19701-4303
Mailing address
102 Nina CT
Bear, DE 19701-1671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2024.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1154086437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 NINA CT",
"city": "BEAR",
"state": "DE",
"postal_code": "197011671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EDEN CIR",
"city": "BEAR",
"state": "DE",
"postal_code": "197014303",
"telephone_number": "302-832-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDISON",
"first_name": "ANGELA",
"middle_name": "JOAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0015609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.