Active NPI
Linda Marie Mathers, RPH
- Pharmacist
- Baltimore, MD
National Provider Identifier
1194313916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10261
- Practice address
- 3120 Erdman Ave
Baltimore, MD 21213-1720 - Phone
- (443) 703-3683
- Fax
- (410) 534-0143
- NPI assigned
- Jan 7, 2021
- 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 | 10261 | MD | Primary |
Addresses
Primary practice location
3120 Erdman Ave
Baltimore, MD 21213-1720
Mailing address
2463 Sophia Chase Dr
Marriottsville, MD 21104-1496
Phone (410) 241-0361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073754461 | Medicaid | MD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Baltimore | ||
| CONNECT URL | Baltimore | Health Information Exchange (HIE) |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10261 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1194313916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2463 SOPHIA CHASE DR",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041496",
"telephone_number": "410-241-0361",
"fax_number": "410-534-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 ERDMAN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212131720",
"telephone_number": "443-703-3683",
"fax_number": "410-534-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHERS",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073754461",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Baltimore",
"affiliation": "N",
"address_1": "3120 Erdman Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212131720",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Baltimore",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3120 Erdman Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212131720",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.