Individual provider Active NPI

Marion Bessem Mbeng, PHARMD

  • Pharmacist
  • Glenarden, MD
National Provider Identifier
1376186916
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26911 Issued in MD
Practice address
8601 Martin Luther King Jr Hwy
Glenarden, MD 20706-1500
Phone
(301) 322-7314
NPI assigned
Oct 27, 2019
Last updated
Oct 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26911 MD Primary

Addresses

Primary practice location

8601 Martin Luther King Jr Hwy
Glenarden, MD 20706-1500

Mailing address

6406 Fairbanks St
New Carrollton, MD 20784-3346
Phone (240) 704-3093

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Noendpointknown

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
26911MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1376186916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 FAIRBANKS ST",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843346",
            "telephone_number": "240-704-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-322-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBENG",
        "first_name": "MARION",
        "middle_name": "BESSEM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Noendpointknown",
            "affiliation": "N",
            "address_1": "8601 Martin Luther King Jr Hwy",
            "city": "Glenarden",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207061500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenarden, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.