Tom Ching – Pharmacist in Clarksburg, MD

Key facts

NPI: 1184149486
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 22059 (MD)
Practice address: 22700 Sweet Shrub Dr
Clarksburg, MD 20871-3328
Phone: (301) 916-7290
Fax: (301) 916-7288
NPI assigned: Aug 8, 2017
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Harris Teeter, LLC Community/Retail Pharmacy · Clarksburg, MD · NPI 1093142796

NPD (past)
Harris Teeter LLC Community/Retail Pharmacy · Apex, NC · NPI 1225856859

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
22059	MD	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Harris Teeter, LLC		Past	Accepting new patients
Harris Teeter LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	22059	MD	Yes

Addresses

Primary practice location

22700 Sweet Shrub Dr
Clarksburg, MD 20871-3328

Mailing address

12310 Houser Dr
Clarksburg, MD 20871-4010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 8, 2017.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1184149486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 HOUSER DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22700 SWEET SHRUB DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208713328",
            "telephone_number": "301-916-7290",
            "fax_number": "301-916-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "TOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

All providers in Clarksburg, MD · Pharmacist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2017. 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.

Verify at the official NPI Registry.