Active NPI
Trevor Whiteside
- Pharmacist
- Annapolis, MD
National Provider Identifier
1659771236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22538
- Practice address
- 503 S Cherry Grove Ave
Annapolis, MD 21401-4244 - Phone
- (443) 482-3981
- NPI assigned
- Sep 2, 2014
- Last updated
- Sep 2, 2014
- 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 | 22538 | MD | Primary |
Addresses
Primary practice location
503 S Cherry Grove Ave
Annapolis, MD 21401-4244
Mailing address
117 Hess Rd
Grasonville, MD 21638-1304
Phone (410) 829-0286
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 |
|---|---|---|---|
| 22538 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy LLC | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1659771236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 HESS RD",
"city": "GRASONVILLE",
"state": "MD",
"postal_code": "216381304",
"telephone_number": "410-829-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 S CHERRY GROVE AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014244",
"telephone_number": "443-482-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.