Individual provider Active NPI

Phyllis Dayle Muir, RPH

  • Pharmacist
  • Lexington Park, MD
National Provider Identifier
1205342144
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12825 Issued in MD
Practice address
46300 Lexington Village Way Ste 104
Lexington Park, MD 20653-5561
Phone
(301) 862-3945
Fax
(301) 862-3946
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 12825 MD Primary

Addresses

Primary practice location

46300 Lexington Village Way Ste 104
Lexington Park, MD 20653-5561

Mailing address

46300 Lexington Village Way Ste 104
Lexington Park, MD 20653-5561
Phone (301) 862-3945

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

LicenseStateTypeSpecialty
12825MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Pharmacy 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1205342144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46300 LEXINGTON VILLAGE WAY STE 104",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206535561",
            "telephone_number": "301-862-3945",
            "fax_number": "301-862-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46300 LEXINGTON VILLAGE WAY STE 104",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206535561",
            "telephone_number": "301-862-3945",
            "fax_number": "301-862-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIR",
        "first_name": "PHYLLIS",
        "middle_name": "DAYLE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "12825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.