Active NPI
Jovana Stanimirovic
- Pharmacist
- Bethesda, MD
National Provider Identifier
1386363117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28701
- Practice address
- 4931 Cordell Ave
Bethesda, MD 20814-2508 - Phone
- (240) 802-2092
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28701 | MD | Primary |
Addresses
Primary practice location
4931 Cordell Ave
Bethesda, MD 20814-2508
Mailing address
11351 Woodglen Dr Apt 506
North Bethesda, MD 20852-6016
Phone (202) 560-4078
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28701 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Compounding, Inc. | 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.
-
- Compounding Pharmacy
- Bethesda, MD
- NPI 1265923676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1386363117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11351 WOODGLEN DR APT 506",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208526016",
"telephone_number": "202-560-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 CORDELL AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142508",
"telephone_number": "240-802-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANIMIROVIC",
"first_name": "JOVANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.