Active NPI
Cecelia Tillman, RPH
- Pharmacist
- Kensington, MD
National Provider Identifier
1154829547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00853
- Practice address
- 11306 Mitscher St
Kensington, MD 20895-1330 - Phone
- (240) 441-0670
- NPI assigned
- Jan 31, 2018
- Sex
- Female
- 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 | 00853 | MD | Primary |
Addresses
Primary practice location
11306 Mitscher St
Kensington, MD 20895-1330
Mailing address
11306 Mitscher St
Kensington, MD 20895-1330
Phone (240) 441-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | MD | NONE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00853 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1154829547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11306 MITSCHER ST",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208951330",
"telephone_number": "240-441-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11306 MITSCHER ST",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208951330",
"telephone_number": "240-441-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "CECELIA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "00853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "00000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.