Individual provider Active NPI

Tariq Waqar, BS

  • Pharmacist
  • Laurel, MD
National Provider Identifier
1639513633
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000006830 Issued in TN
Practice address
7313 Waterloo Walk
Laurel, MD 20707-6941
Phone
(615) 351-7548
NPI assigned
Apr 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19052 MD
Pharmacist 183500000X 0000006830 TN Primary
Pharmacist 183500000X PH100000768 DC

Addresses

Primary practice location

7313 Waterloo Walk
Laurel, MD 20707-6941

Mailing address

7313 Waterloo Walk
Laurel, MD 20707-6941
Phone (615) 351-7548

Other identifiers 1

IdentifierTypeStateIssuer
LEVEL I PROVIDER TYPMedicaidMD

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PH100000768DCMDPharmacist
0000006830TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366416000000",
    "number": "1639513633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 WATERLOO WALK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076941",
            "telephone_number": "615-351-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 WATERLOO WALK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076941",
            "telephone_number": "615-351-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAQAR",
        "first_name": "TARIQ",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19052",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000006830",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LEVEL I PROVIDER TYP",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; 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.