Individual provider Active NPI

Mahesh Rao Ramanadham, PHARMD

  • Pharmacist
  • Glen Burnie, MD
National Provider Identifier
1326817883
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19205 Issued in MD
Practice address
575 E Ordnance Rd
Glen Burnie, MD 21060-6555
Phone
(410) 590-5601
Fax
(410) 590-5603
NPI assigned
Dec 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19205 MD Primary

Addresses

Primary practice location

575 E Ordnance Rd
Glen Burnie, MD 21060-6555

Mailing address

12403 All Daughters LN
Highland, MD 20777-9588
Phone (973) 980-7532

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
19205MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1326817883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 ALL DAUGHTERS LN",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779588",
            "telephone_number": "973-980-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E ORDNANCE RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606555",
            "telephone_number": "410-590-5601",
            "fax_number": "410-590-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMANADHAM",
        "first_name": "MAHESH",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.