Active NPI
Zein Elabdeen Elbagir Eissa
- Pharmacist
- Princess Anne, MD
National Provider Identifier
1639576770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22781
- Practice address
- 12154 Brittingham LN
Princess Anne, MD 21853-2212 - Phone
- (410) 651-1133
- Fax
- (410) 651-3368
- NPI assigned
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22781 | MD | Primary |
| Pharmacist | 183500000X | AI-0004682 | DE |
Addresses
Primary practice location
12154 Brittingham LN
Princess Anne, MD 21853-2212
Mailing address
4381 Sturbridge Dr
Salisbury, MD 21804-1950
Phone (703) 209-0203
Other names 1
- Zein Eissa
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AI-0004682 | DE | MD | Pharmacist |
| 22781 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1639576770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4381 STURBRIDGE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041950",
"telephone_number": "703-209-0203",
"fax_number": "410-651-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12154 BRITTINGHAM LN",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218532212",
"telephone_number": "410-651-1133",
"fax_number": "410-651-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISSA",
"first_name": "ZEIN ELABDEEN",
"middle_name": "ELBAGIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22781",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "AI-0004682",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZEIN",
"last_name": "EISSA",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.