Erica Hailey Sofranko
Individual provider Active NPI Pharmacist · Brunswick, MD
NPI 1619794351 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1619794351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- T28778 (MD)
- Practice address
- 1201 Dutchmans Creek Dr
Brunswick, MD 21716-9770 - Phone
- (301) 834-4805
- Fax
- (301) 834-4809
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T28778 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past |
Accepting new patients | |
| Weis Markets, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T28778 | MD | Yes |
Addresses
Primary practice location
1201 Dutchmans Creek Dr
Brunswick, MD 21716-9770
Mailing address
4612 Mockingbird LN
Frederick, MD 21703-6921
Phone (301) 221-7448
Other providers in Brunswick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.