Individual provider Active NPI

Flavea Pallikal, PHARMD

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1639357601
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19127 Issued in MD
Practice address
1400 Sulphur Spring Rd
Baltimore, MD 21227-2701
Phone
(410) 737-9221
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19127 MD Primary

Addresses

Primary practice location

1400 Sulphur Spring Rd
Baltimore, MD 21227-2701

Mailing address

8309 Governor Run
Ellicott City, MD 21043-3448
Phone (410) 480-4383

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

LicenseStateTypeSpecialty
19127MDMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1639357601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 GOVERNOR RUN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433448",
            "telephone_number": "410-480-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SULPHUR SPRING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272701",
            "telephone_number": "410-737-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLIKAL",
        "first_name": "FLAVEA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

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.

Verify at the official NPI Registry.