Active NPI
Anupama Koram
- Pharmacist
- Brandywine, MD
National Provider Identifier
1619277100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19058
- Practice address
- 15916 Crain Hwy
Brandywine, MD 20613-8000 - Phone
- (301) 242-9264
- Fax
- (301) 242-9265
- NPI assigned
- Oct 30, 2010
- 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 | 19058 | MD | Primary |
Addresses
Primary practice location
15916 Crain Hwy
Brandywine, MD 20613-8000
Mailing address
15916 Crain Hwy
Brandywine, MD 20613-8000
Phone (301) 242-9264
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 |
|---|---|---|---|
| 19058 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288396800000",
"number": "1619277100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15916 CRAIN HWY",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138000",
"telephone_number": "301-242-9264",
"fax_number": "301-242-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15916 CRAIN HWY",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138000",
"telephone_number": "301-242-9264",
"fax_number": "301-242-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORAM",
"first_name": "ANUPAMA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-30",
"last_updated": "2010-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.