Active NPI
Camille B Ware, PD
- Pharmacist
- Waldorf, MD
National Provider Identifier
1184224842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11242
- Practice address
- 3297 Plaza Way
Waldorf, MD 20603-4861 - Phone
- (301) 542-4200
- Fax
- (301) 542-4190
- NPI assigned
- Oct 30, 2020
- Last updated
- Oct 30, 2020
- 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 | 11242 | MD | Primary |
Addresses
Primary practice location
3297 Plaza Way
Waldorf, MD 20603-4861
Mailing address
3297 Plaza Way
Waldorf, MD 20603-4861
Phone (301) 542-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11242 | Other | MD | MARYLAND BOARD OF PHARMACY |
Other names 1
- Camille Yvette Ware
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 |
|---|---|---|---|
| 11242 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | 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": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1184224842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3297 PLAZA WAY",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034861",
"telephone_number": "301-542-4200",
"fax_number": "301-542-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3297 PLAZA WAY",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034861",
"telephone_number": "301-542-4200",
"fax_number": "301-542-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "CAMILLE",
"middle_name": "B",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "11242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PHARMACY",
"identifier": "11242",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLE",
"last_name": "WARE",
"middle_name": "YVETTE",
"credential": "PD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.