Active NPI
Sedinam Kirstie Boateng, PHARMD.
- Pharmacist
- Bowie, MD
National Provider Identifier
1205601036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29253
- Practice address
- 6001 High Bridge Rd
Bowie, MD 20720-5205 - Phone
- (301) 262-4956
- NPI assigned
- Nov 21, 2023
- Last updated
- Nov 21, 2023
- 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 | 29253 | MD | Primary |
Addresses
Primary practice location
6001 High Bridge Rd
Bowie, MD 20720-5205
Mailing address
7731 Dignity Way
Severn, MD 21144-1197
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29253 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1205601036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7731 DIGNITY WAY",
"city": "SEVERN",
"state": "MD",
"postal_code": "211441197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 HIGH BRIDGE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207205205",
"telephone_number": "301-262-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATENG",
"first_name": "SEDINAM",
"middle_name": "KIRSTIE",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "29253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.