Individual provider Active NPI

Daniel E Fishpaw, PHARMD

  • Pharmacist
  • Towson, MD
National Provider Identifier
1376843748
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15962 Issued in MD
Practice address
1017 York Rd
Towson, MD 21204-2516
Phone
(410) 296-4491
Fax
(410) 296-4495
NPI assigned
Nov 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15962 MD Primary

Addresses

Primary practice location

1017 York Rd
Towson, MD 21204-2516

Mailing address

1017 York Rd
Towson, MD 21204-2516
Phone (410) 296-4491

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
15962MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1376843748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042516",
            "telephone_number": "410-296-4491",
            "fax_number": "410-296-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042516",
            "telephone_number": "410-296-4491",
            "fax_number": "410-296-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHPAW",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.