Individual provider Active NPI

Kelly Ann Tressler, PHARMD

  • Pharmacist
  • Hanover, MD
National Provider Identifier
1386047553
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14984 Issued in MD
Practice address
7556 Teague Rd
Suite 220
Hanover, MD 21076-1213
Phone
(443) 755-0060
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14984 MD Primary

Addresses

Primary practice location

7556 Teague Rd
Suite 220
Hanover, MD 21076-1213

Mailing address

7556 Teague Rd
Suite 220
Hanover, MD 21076-1213
Phone (443) 755-0060

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
14984MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mills Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1386047553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 TEAGUE RD",
            "address_2": "SUITE 220",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761213",
            "telephone_number": "443-755-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 TEAGUE RD",
            "address_2": "SUITE 220",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761213",
            "telephone_number": "443-755-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSLER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.