Michael Neil Weisburgh, PHARMD, BCPS, BCPP

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

16582 Issued in MD

Practice address

21676 Great Mills Rd
Lexington Park, MD 20653-3806

Phone

(301) 863-5631

Fax

(301) 863-7462

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Parkville, MD
  • NPI 1639938020
  NPD (past)
• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Prince Frederick, MD
  • NPI 1942233291
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528066529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 CANNONCADE CT",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324106",
            "telephone_number": "410-286-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21676 GREAT MILLS RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533806",
            "telephone_number": "301-863-5631",
            "fax_number": "301-863-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Solomons Island Rd N",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783915",
            "country_code": "US",
            "telephone_number": "410-535-5974",
            "fax_number": "410-535-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISBURGH",
        "first_name": "MICHAEL",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, BCPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16582",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MD",
            "license": "16582",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MD",
            "license": "16582",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "16582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Elizabeth Guy Walker, LMSW
• Washington DC Vamc
• Kimberly Webb, R.N.
• Karl Webner
• Helena L Weisl, LCSW-C, LP,CAADC
• Temeria Wilcox, CRNP
• Shannon Renee Willey, M.ED
• Jasmine Mariama Williams
• Taylor Nicole Williams, RDN, LDN

• All providers in Lexington Park, MD
• Pharmacotherapy Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.