Active NPI
Bibechana Bista, RPH
- Pharmacist
- Frederick, MD
National Provider Identifier
1508566530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28915
- Practice address
- 438 Prospect Blvd
Frederick, MD 21701-6400 - Phone
- (240) 345-6700
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28915 | MD | Primary |
Addresses
Primary practice location
438 Prospect Blvd
Frederick, MD 21701-6400
Mailing address
5808 Shepherd Dr
Frederick, MD 21704-7777
Phone (612) 300-5313
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 |
|---|---|---|---|
| 28915 | MD | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radhe Radhe Pharmacy LLC | Current | Accepting new patients |
Locations
438 Prospect Blvd
Frederick, MD 21701
Phone (240) 345-6700
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Frederick, MD
- NPI 1316690894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1508566530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5808 SHEPHERD DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047777",
"telephone_number": "612-300-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 PROSPECT BLVD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016400",
"telephone_number": "240-345-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISTA",
"first_name": "BIBECHANA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.