Active NPI
Jody Michael Yuskovitz, RPH
- Pharmacist
- Baltimore, MD
National Provider Identifier
1477940104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23518
- Practice address
- 4622 Wilkens Ave
Baltimore, MD 21229-4842 - Phone
- (410) 247-5802
- NPI assigned
- Apr 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP031566L | PA | |
| Pharmacist | 183500000X | 23518 | MD | Primary |
Addresses
Primary practice location
4622 Wilkens Ave
Baltimore, MD 21229-4842
Mailing address
4622 Wilkens Ave
Baltimore, MD 21229-4842
Phone (410) 247-5802
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 |
|---|---|---|---|
| 23518 | MD | MD | Pharmacist |
| RP031566L | PA | MD | Pharmacist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1477940104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 WILKENS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294842",
"telephone_number": "410-247-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 WILKENS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294842",
"telephone_number": "410-247-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSKOVITZ",
"first_name": "JODY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2021-08-09",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP031566L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.