Samira Boukhari, PHARM.D.
Individual provider Active NPI Pharmacist · Prince Frederick, MD
NPI 1366723652 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1366723652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19984 (MD)
- Practice address
- 110 Hospital Rd Ste 100
Prince Frederick, MD 20678-4039 - Phone
- (410) 535-3838
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19984 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19984 | MD | Yes |
Addresses
Primary practice location
110 Hospital Rd Ste 100
Prince Frederick, MD 20678-4039
Mailing address
110 Hospital Rd
Prince Frederick, MD 20678-4019
Phone (410) 535-3838
Other providers in Prince Frederick, MD
- Mary Elisabeth Rose Bailey Bonney
- Madhu Borra
- Wendy Kay Bosley
- Erika Kaine Bottalico
- Randi Nicole Bouchillon
- Sinetra Bowdry
- Carla Schell Bowling
- Kathryn Page Bradford
- Tania J Bradley
- Lauren E Brendel
All providers in Prince Frederick, MD · Pharmacist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. 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.