Active NPI
Brendon McQuighan, PHARMD
- Pharmacist
- Edgewater, MD
National Provider Identifier
1639490733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20183
- Practice address
- 13 Lee Airpark Dr
Edgewater, MD 21037-1237 - Phone
- (410) 956-4150
- NPI assigned
- Jun 13, 2010
- Last updated
- Nov 3, 2017
- Sex
- Male
- 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 | 20183 | MD | Primary |
Addresses
Primary practice location
13 Lee Airpark Dr
Edgewater, MD 21037-1237
Mailing address
13 Lee Airpark Dr
Edgewater, MD 21037-1237
Phone (410) 956-4150
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 |
|---|---|---|---|
| 20183 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1276387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1639490733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 LEE AIRPARK DR",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371237",
"telephone_number": "410-956-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 LEE AIRPARK DR",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371237",
"telephone_number": "410-956-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUIGHAN",
"first_name": "BRENDON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-13",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.