Active NPI
Anthony Gesualdo
- Pharmacist
- Timonium, MD
National Provider Identifier
1649448788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16276
- Practice address
- 37 W Aylesbury Rd
Timonium, MD 21093-4102 - Phone
- (410) 308-8702
- NPI assigned
- Feb 12, 2008
- 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 | 16276 | MD | Primary |
Addresses
Primary practice location
37 W Aylesbury Rd
Timonium, MD 21093-4102
Mailing address
56 Priestford Rd
Churchville, MD 21028-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16276 | Other | MD | RPH |
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 |
|---|---|---|---|
| 16276 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1649448788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 PRIESTFORD RD",
"city": "CHURCHVILLE",
"state": "MD",
"postal_code": "210281223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W AYLESBURY RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210934102",
"telephone_number": "410-308-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESUALDO",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH",
"identifier": "16276",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.