Nirukti Basi
Individual provider Active NPI Pharmacist · Burtonsville, MD
NPI 1477079713 · NPPES record last updated Aug 18, 2017
Key facts
- NPI
- 1477079713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24862 (MD)
- Practice address
- 15600 Columbia Pike
Burtonsville, MD 20866-1630 - Phone
- (734) 837-1928
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24862 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24862 | MD | Yes |
Addresses
Primary practice location
15600 Columbia Pike
Burtonsville, MD 20866-1630
Mailing address
1200 S Conkling St Apt 543
Baltimore, MD 21224-5332
Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.