Individual provider Active NPI

Leonor Marilin Munoz Alcivar, PHARMD

  • Pharmacist
  • Hyattsville, MD
National Provider Identifier
1649641630
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23622 Issued in MD
Practice address
7041 Martin Luther King Jr Hwy
King Shopping Center
Hyattsville, MD 20785-4016
Phone
(301) 386-6141
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23622 MD Primary

Addresses

Primary practice location

7041 Martin Luther King Jr Hwy
King Shopping Center
Hyattsville, MD 20785-4016

Mailing address

6208 Quebec St
Berwyn Heights, MD 20740-2740
Phone (802) 343-6551

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

LicenseStateTypeSpecialty
23622MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1649641630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 QUEBEC ST",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402740",
            "telephone_number": "802-343-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 MARTIN LUTHER KING JR HWY",
            "address_2": "KING SHOPPING CENTER",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854016",
            "telephone_number": "301-386-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ ALCIVAR",
        "first_name": "LEONOR",
        "middle_name": "MARILIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.