Active NPI
Surinder K Singal
- Pharmacist
- Deale, MD
National Provider Identifier
1164063210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08093
- Practice address
- 5809 Deale Churchton Rd
Deale, MD 20751-2203 - Phone
- (410) 867-2455
- Fax
- (410) 867-2466
- NPI assigned
- Sep 30, 2019
- Last updated
- Sep 30, 2019
- Sex
- Male
- 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 | 08093 | MD | Primary |
Addresses
Primary practice location
5809 Deale Churchton Rd
Deale, MD 20751-2203
Mailing address
5809 Deale Churchton Rd
Deale, MD 20751-2203
Phone (410) 867-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201106000163 | MD | Practitioner - Mass Immunization Roster Biller | 1850701657 | Practice locations: Deale, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08093 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deale Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1164063210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 DEALE CHURCHTON RD",
"city": "DEALE",
"state": "MD",
"postal_code": "207512203",
"telephone_number": "410-867-2455",
"fax_number": "410-867-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5809 DEALE CHURCHTON RD",
"city": "DEALE",
"state": "MD",
"postal_code": "207512203",
"telephone_number": "410-867-2455",
"fax_number": "410-867-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGAL",
"first_name": "SURINDER",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "08093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.