Active NPI
Nicole Lazor, PHARMD
- Pharmacist
- Baltimore, MD
National Provider Identifier
1174893366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19182
- Practice address
- 900 N Washington St
Baltimore, MD 21205-1258 - Phone
- (410) 522-5639
- NPI assigned
- Jan 5, 2012
- 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 | 19182 | MD | Primary |
Addresses
Primary practice location
900 N Washington St
Baltimore, MD 21205-1258
Mailing address
313 Gordon Ave
Severna Park, MD 21146-4309
Other practice location 1
7901 Ritchie Hwy
Glen Burnie, MD 21061-4339
Phone (410) 761-3341
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 |
|---|---|---|---|
| 19182 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1174893366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 GORDON AVE",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N WASHINGTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051258",
"telephone_number": "410-522-5639"
}
],
"practiceLocations": [
{
"address_1": "7901 Ritchie Hwy",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210614339",
"country_code": "US",
"telephone_number": "410-761-3341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZOR",
"first_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.