Individual provider Active NPI

Surinder K Singal

  • Pharmacist
  • Deale, MD
National Provider Identifier
1164063210
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
08093 Issued in MD
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20201106000163 MD Practitioner - Mass Immunization Roster Biller 1850701657 Practice locations: Deale, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08093MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deale Pharmacy LLC PastSince Jun 1, 2012 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.

Verify at the official NPI Registry.