Anooj Mamlatdarna, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

27733 Issued in MD

Practice address

5405 Lynx LN
Columbia, MD 21044-2374

Phone

(410) 740-7273

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Maryland CVS Pharmacy LLC

  • Pharmacy
  • Columbia, MD
  • NPI 1710386602
  NPD (past)
• Maryland CVS Pharmacy, L.L.C.

  • Pharmacy
  • Gaithersburg, MD
  • NPI 1669100285
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1417549783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 LYNX LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 LYNX LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442374",
            "telephone_number": "410-740-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMLATDARNA",
        "first_name": "ANOOJ",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE",
            "identifier": "R60766557",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5405 Lynx Ln",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cathleen Mallow
• Armand Malone
• Natarsha Malone
• Jordan Elizabeth Maloney
• Carol Ann Malott, RN
• Alexander Mamunes
• Gissella Mana
• Michael Manchester
• Venkateswara Rao Mandava, M.D
• Julia Ballance Mandes, L.AC.

• Pharmacist in Columbia, MD
• Providers in Columbia, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.