Individual provider Active NPI

Sandra Agyapong, PHARM D

  • Pharmacist
  • Bel Air, MD
National Provider Identifier
1457780355
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21761 Issued in MD
Practice address
208 Plumtree Rd Ste a
Bel Air, MD 21015-6056
Phone
(410) 670-3719
Fax
(410) 670-3751
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21761 MD Primary

Addresses

Primary practice location

208 Plumtree Rd Ste a
Bel Air, MD 21015-6056

Mailing address

1310 Liriope CT Apt 202
Belcamp, MD 21017-2644

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
21761MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Alliance LTD Current Accepting new patients
Sea Alliance LTD Current Accepting new patients

Locations

208 Plumtree Rd
Ste A
Bel Air, MD 21015
Phone (410) 670-3719

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1457780355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 LIRIOPE CT APT 202",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210172644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PLUMTREE RD STE A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156056",
            "telephone_number": "410-670-3719",
            "fax_number": "410-670-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYAPONG",
        "first_name": "SANDRA",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.