Active NPI
Mary Paula Jankowiak, RPH
- Pharmacist
- Dundalk, MD
National Provider Identifier
1396069183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10361
- Practice address
- 1400 Merritt Blvd
Dundalk, MD 21222-2107 - Phone
- (410) 631-1280
- Fax
- (844) 411-6333
- NPI assigned
- Mar 23, 2010
- 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 | 10361 | MD | Primary |
Addresses
Primary practice location
1400 Merritt Blvd
Dundalk, MD 21222-2107
Mailing address
1400 Merritt Blvd
Baltimore, MD 21222-2107
Phone (410) 631-1280
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10361 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Dundalk, MD
- NPI 1487687737
-
- Community/Retail Pharmacy
- Parkville, MD
- NPI 1639938020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610841600000",
"number": "1396069183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERRITT BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212222107",
"telephone_number": "410-631-1280",
"fax_number": "844-411-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERRITT BLVD",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222107",
"telephone_number": "410-631-1280",
"fax_number": "844-411-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKOWIAK",
"first_name": "MARY",
"middle_name": "PAULA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.