Michelle C Andoll, RPH
Individual provider Active NPI Pharmacist · Baltimore, MD
NPI 1265634570 · NPPES record last updated May 29, 2012
Key facts
- NPI
- 1265634570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12074 (MD)
- Practice address
- 16 Kimberlys CT
Baltimore, MD 21244-4007 - Phone
- (302) 494-6201
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12074 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Llodna Incorporated | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12074 | MD | Yes |
Addresses
Primary practice location
16 Kimberlys CT
Baltimore, MD 21244-4007
Mailing address
16 Kimberlys CT
Baltimore, MD 21244-4007
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.