Active NPI
Kaiser Permanente Mas
- Pharmacist
- Largo, MD
National Provider Identifier
1528309366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13942
- Legal business name
- KAISER PERMANENTE MAS
- Practice address
- 1221 Mercantile LN
Largo, MD 20774-5374 - Phone
- (240) 848-6675
- Fax
- (301) 618-5554
- NPI assigned
- Mar 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cruzita Kimberly Bryant, RPH
- Title
- Assistant Area Operations Manager
- Phone
- (240) 848-6675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13942 | MD | Primary |
Addresses
Primary practice location
1221 Mercantile LN
Largo, MD 20774-5374
Mailing address
11508 Gloxinia CT
Upper Marlboro, MD 20774-9219
Phone (240) 848-6675
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362355200000",
"number": "1528309366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11508 GLOXINIA CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207749219",
"telephone_number": "240-848-6675",
"fax_number": "301-618-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MERCANTILE LN",
"city": "LARGO",
"state": "MD",
"postal_code": "207745374",
"telephone_number": "240-848-6675",
"fax_number": "301-618-5554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER PERMANENTE MAS",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "CRUZITA",
"authorized_official_middle_name": "KIMBERLY",
"authorized_official_title_or_position": "ASSISTANT AREA OPERATIONS MANAGER",
"authorized_official_telephone_number": "240-848-6675",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MD",
"license": "13942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Linda Yaya Kalle, PMHNP
- Zainab Kamara
- Kamco Medical Staffing, Inc.
- Kamden Counseling & Consulting Group, LLC
- Priyadarshini Kannaian, MBBS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.