Active NPI
Edward James Galligan
- Pharmacist
- Boonsboro, MD
National Provider Identifier
1194381384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09758
- Practice address
- 7628 Old National Pike
Boonsboro, MD 21713-2002 - Phone
- (301) 432-5488
- Fax
- (301) 432-2466
- NPI assigned
- May 14, 2019
- Last updated
- May 14, 2019
- Sex
- Male
- 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 | 09758 | MD | Primary |
Addresses
Primary practice location
7628 Old National Pike
Boonsboro, MD 21713-2002
Mailing address
8345 Rocky Springs Rd
Frederick, MD 21702-2383
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 |
|---|---|---|---|
| 09758 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1194381384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8345 ROCKY SPRINGS RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7628 OLD NATIONAL PIKE",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217132002",
"telephone_number": "301-432-5488",
"fax_number": "301-432-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIGAN",
"first_name": "EDWARD",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "09758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonsboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.