Active NPI
Elwood Lee Fletcher Jr.
- Pharmacist
- Severna Park, MD
National Provider Identifier
1265732754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 07984
- Practice address
- 540 Benfield Rd
Severna Park, MD 21146-2542 - Phone
- (410) 384-1633
- Fax
- (410) 384-1636
- NPI assigned
- Oct 30, 2010
- Last updated
- Oct 30, 2010
- Sex
- Male
- 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 | 07984 | MD | Primary |
Addresses
Primary practice location
540 Benfield Rd
Severna Park, MD 21146-2542
Mailing address
540 Benfield Rd
Severna Park, MD 21146-2542
Phone (410) 384-1633
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 |
|---|---|---|---|
| 07984 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288396800000",
"number": "1265732754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 BENFIELD RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462542",
"telephone_number": "410-384-1633",
"fax_number": "410-384-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 BENFIELD RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462542",
"telephone_number": "410-384-1633",
"fax_number": "410-384-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "ELWOOD",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-30",
"last_updated": "2010-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "07984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
- Leeann L. Fincham, IBCLC
- First Call Medical Center LLC
- Cheryl Yvonne Fisher, MS NCC LGPC
- Mark Louis Fisher, PH.D.
- Five Star Severna Park LLC (Heartlands at Severna Park)
- Kenneth Eugene Fligsten, M.D.
- Forever Fit Physical Therapy & Wellness LLC
- Carol D. Forsyth, C.R.N.P.
- Richard D Fortune
- Amelia Foster, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.