Jennifer Gillis, PHARMD
Individual provider Active NPI Pharmacist · Wheaton, MD
NPI 1184032278 · NPPES record last updated Aug 1, 2014
Key facts
- NPI
- 1184032278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22481 (MD)
- Practice address
- 11900 Viers Mill Rd
Wheaton, MD 20902 - Phone
- (301) 942-1791
- NPI assigned
- Aug 1, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22481 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22481 | MD | Yes |
Addresses
Primary practice location
11900 Viers Mill Rd
Wheaton, MD 20902
Mailing address
11900 Viers Mill Road
Wheaton, MD 20902
Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.