Active NPI
Maria Viray Ricasa
- Pharmacist
- Severn, MD
National Provider Identifier
1588077119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21809
- Practice address
- 403 George Clauss Blvd
Severn, MD 21144-1317 - Phone
- (410) 424-4501
- NPI assigned
- Jun 11, 2014
- Last updated
- Jun 11, 2014
- 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 | 21809 | MD | Primary |
Addresses
Primary practice location
403 George Clauss Blvd
Severn, MD 21144-1317
Mailing address
13126 Holdridge Rd
Silver Spring, MD 20906-3935
Phone (301) 646-2529
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21809 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1588077119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13126 HOLDRIDGE RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063935",
"telephone_number": "301-646-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 GEORGE CLAUSS BLVD",
"city": "SEVERN",
"state": "MD",
"postal_code": "211441317",
"telephone_number": "410-424-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICASA",
"first_name": "MARIA",
"middle_name": "VIRAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severn, MD
- Project Chesapeake, LLC
- Project Chesapeake, LLC
- Matthew Francis Raeder, MSW, LGSW
- Philip Francis Malaya Relativo, P.T.
- Resonant Counseling & Psychotherapy Limited Liability Company
- Right Choice Health Care, LLC.
- Rise and Shine Therapeutic Services LLC
- Laura Rivers
- Roberts Counseling Service, LLC
- Grace Rozanski, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.