Archangel Michael LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ARCHANGEL MICHAEL LLC

Doing business as

White Flint Family Pharmacy

Practice address

11125 Rockville Pike Ste 102
Rockville, MD 20852-3142

Phone

(301) 321-2525

Fax

(301) 321-2626

NPI assigned

Nov 10, 2022

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jaen Sidhom, RPHNPI 1891288593

Title

RX Manager

Phone

(301) 321-2525

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• White Flint Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaen Sidhom

  • Pharmacist
  • Centreville, VA
  • NPI 1891288593
  NPD Authorized official

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1326756057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-321-2525",
            "fax_number": "301-321-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL MICHAEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "SIDHOM",
        "authorized_official_first_name": "JAEN",
        "authorized_official_title_or_position": "RX MANAGER",
        "authorized_official_telephone_number": "301-321-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326756057",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209675700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Flint Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Flint Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Araoz
• Ali Asad Arastu, MD
• Shadi Arbabian, D.AC., L.AC.
• Paulo Arce
• Majorie Archange
• Christine Blanc Archer, PMHNP-BC
• Tymelya Archer
• Josue Archila-Siguenza
• Svetlana Archvadze
• Stephen Gabriel Arcidiacono

• Community/Retail Pharmacy in Rockville, MD
• Providers in Rockville, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.