Individual provider Active NPI

Joanitta Bediako, PHARMD

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1326457797
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21720 Issued in MD
Practice address
5407 Harford Rd
Baltimore, MD 21214-2216
Phone
(410) 426-9855
NPI assigned
Aug 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21720 MD Primary

Addresses

Primary practice location

5407 Harford Rd
Baltimore, MD 21214-2216

Mailing address

5407 Harford Rd
Baltimore, MD 21214-2216
Phone (410) 426-9855

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
21720MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1326457797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142216",
            "telephone_number": "410-426-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142216",
            "telephone_number": "410-426-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDIAKO",
        "first_name": "JOANITTA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21720",
            "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 Aug 10, 2014; 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.