Individual provider Active NPI

Clarissa Dade-Esposito, PHARM.D

  • Pharmacist
  • Owings Mills, MD
National Provider Identifier
1497237283
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25945 Issued in MD
Practice address
9300 Lakeside Blvd
Owings Mills, MD 21117-4953
Phone
(410) 363-8066
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25945 MD Primary

Addresses

Primary practice location

9300 Lakeside Blvd
Owings Mills, MD 21117-4953

Mailing address

10558 Faulkner Ridge Cir
Columbia, MD 21044-2226
Phone (301) 377-2182

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
25945MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1497237283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10558 FAULKNER RIDGE CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442226",
            "telephone_number": "301-377-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 LAKESIDE BLVD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174953",
            "telephone_number": "410-363-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADE-ESPOSITO",
        "first_name": "CLARISSA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.