David Howard Ayres, PD
Individual provider Active NPI Pharmacist · Elkton, MD
NPI 1366455255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366455255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7474 (MD)
- Practice address
- 723 N Bridge St
Elkton, MD 21921-5309 - Phone
- (410) 398-4383
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7474 | MD | MD | Pharmacist |
| RP027071L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Pharmacy Inc | Current | Accepting new patients | |
| Northside Pharmacy Long Term Care Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7474 | MD | Yes |
| Pharmacist | 183500000X | RP027071L | PA |
Addresses
Primary practice location
723 N Bridge St
Elkton, MD 21921-5309
Mailing address
382 Razor Strap Rd
North East, MD 21901-2718
Phone (410) 287-5989
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.