Individual provider Active NPI

Nicole Anecia Liu, PHARM.D.

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1245677285
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18063 Issued in MD
Practice address
2323 Orleans St
Baltimore, MD 21224-1020
Phone
(410) 558-4775
Fax
(410) 732-0162
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18063 MD Primary

Addresses

Primary practice location

2323 Orleans St
Baltimore, MD 21224-1020

Mailing address

2323 Orleans St
Baltimore, MD 21224-1020
Phone (410) 558-4775

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

LicenseStateTypeSpecialty
18063MDMDDentist

Interoperability endpoints

  • Direct secure messaging: ian.cook.p1@direct.bmsi.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1245677285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241020",
            "telephone_number": "410-558-4775",
            "fax_number": "410-732-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241020",
            "telephone_number": "410-558-4775",
            "fax_number": "410-732-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "NICOLE",
        "middle_name": "ANECIA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 31, 2013; 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.