Active NPI
Laura Jago, PHARM D
- Pharmacist
- Perry Hall, MD
National Provider Identifier
1619386398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17277
- Practice address
- 9820 Belair Rd
Perry Hall, MD 21128-9741 - Phone
- (410) 529-1460
- Fax
- (410) 529-1702
- NPI assigned
- Aug 7, 2014
- Last updated
- Oct 20, 2021
- 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 | 17277 | MD | Primary |
Addresses
Primary practice location
9820 Belair Rd
Perry Hall, MD 21128-9741
Mailing address
9820 Belair Rd
Perry Hall, MD 21128-9741
Phone (443) 804-0392
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17277 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy LLC | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1619386398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9820 BELAIR RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289741",
"telephone_number": "443-804-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9820 BELAIR RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289741",
"telephone_number": "410-529-1460",
"fax_number": "410-529-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGO",
"first_name": "LAURA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.