NPIMap

Individual provider Active NPI

Trieu Bao

  • Pharmacist
  • Glen Burnie, MD
National Provider Identifier
1447738141
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16045 Issued in MD
Practice address
801 Landmark Dr Ste B
Glen Burnie, MD 21061-4986
Phone
(443) 281-9157
Fax
(410) 582-8728
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16045 MD Primary

Addresses

Primary practice location

801 Landmark Dr Ste B
Glen Burnie, MD 21061-4986

Mailing address

801 Landmark Dr Ste B
Glen Burnie, MD 21061-4986
Phone (443) 281-9157

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

LicenseStateTypeSpecialty
16045MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Soleil Pharmacy CurrentSince Aug 27, 2023 Accepting new patients
Soleil Pharmacy Current Accepting new patients

Locations

801 Landmark Dr
Ste B
Glen Burnie, MD 21061
Phone (443) 281-9157

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.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1447738141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LANDMARK DR STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614986",
            "telephone_number": "443-281-9157",
            "fax_number": "410-582-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LANDMARK DR STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614986",
            "telephone_number": "443-281-9157",
            "fax_number": "410-582-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "TRIEU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.