Active NPI
Ansu Green
- Pharmacist
- Dundalk, MD
National Provider Identifier
1174772842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18278
- Practice address
- 29 Shipping PL
Dundalk, MD 21222-4318 - Phone
- (410) 282-0020
- NPI assigned
- Sep 17, 2008
- 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 | 18278 | MD | Primary |
Addresses
Primary practice location
29 Shipping PL
Dundalk, MD 21222-4318
Mailing address
5038 Hilltop Acres Rd
Perry Hall, MD 21128-9629
Phone (410) 931-0877
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18278 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1174772842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5038 HILLTOP ACRES RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289629",
"telephone_number": "410-931-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 SHIPPING PL",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212224318",
"telephone_number": "410-282-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANSU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.