Active NPI
Reem Abdullah, PHARM D
- Pharmacist
- Cockeysville, MD
National Provider Identifier
1154927283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24694
- Practice address
- 11399 York Rd
Cockeysville, MD 21030-1909 - Phone
- (410) 785-1065
- Fax
- (410) 785-1071
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 24694 | MD | Primary |
Addresses
Primary practice location
11399 York Rd
Cockeysville, MD 21030-1909
Mailing address
11399 York Rd
Cockeysville, MD 21030-1909
Phone (410) 785-1065
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cockeysville | Health Information Exchange (HIE) | GIANT OF MARYLAND LLC |
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 |
|---|---|---|---|
| 24694 | MD | 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 |
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
- Cockeysville, MD
- NPI 1124051479
-
- Community/Retail Pharmacy
- Parkville, MD
- NPI 1639938020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1154927283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11399 YORK RD",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210301909",
"telephone_number": "410-785-1065",
"fax_number": "410-785-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11399 YORK RD",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210301909",
"telephone_number": "410-785-1065",
"fax_number": "410-785-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "REEM",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24694",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cockeysville",
"affiliation": "Y",
"endpointDescription": "retail pharmacy",
"affiliationName": "GIANT OF MARYLAND LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "11399 York Rd",
"city": "Cockeysville",
"state": "MD",
"country_code": "US",
"postal_code": "210301909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.