Active NPI
Ishaq Waris Rundhawa, PHARMACY TECHNICIAN
- Pharmacy Technician
- Chester, MD
National Provider Identifier
1639870280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T04195
- Practice address
- 1720 Main St
Chester, MD 21619-2602 - Phone
- (410) 604-2337
- Fax
- (410) 604-3697
- NPI assigned
- Mar 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T04195 | MD | Primary |
Addresses
Primary practice location
1720 Main St
Chester, MD 21619-2602
Mailing address
235B Boxwood Rd. Apt.207
Annapolis, MD 21403
Phone (443) 995-8087
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 |
|---|---|---|---|
| T04195 | MD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1639870280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235B BOXWOOD RD. APT.207",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21403",
"telephone_number": "443-995-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 MAIN ST",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192602",
"telephone_number": "410-604-2337",
"fax_number": "410-604-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDHAWA",
"first_name": "ISHAQ",
"middle_name": "WARIS",
"name_prefix": "Mr.",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "T04195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.