Individual provider Active NPI

Andrew Quiroga Alonzo, PHARM.D.

  • Pharmacist
  • Silver Spring, MD
National Provider Identifier
1669873899
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202211424 Issued in VA
Practice address
11921 Bournefield Way
Suite D
Silver Spring, MD 20904-7815
Phone
(301) 879-5509
NPI assigned
Sep 8, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20691 MD
Pharmacist 183500000X 0202211424 VA Primary
Pharmacist 183500000X PH100001426 DC
Pharmacist 183500000X 68455 CA

Addresses

Primary practice location

11921 Bournefield Way
Suite D
Silver Spring, MD 20904-7815

Mailing address

11921 Bournefield Way
Suite D
Silver Spring, MD 20904-7815
Phone (301) 879-5509

Other identifiers 4

IdentifierTypeStateIssuer
20691OtherMDMARYLAND BOARD OF PHARMACY PHARMACIST LICENSE
68455OtherCACALIFORNIA BOARD OF PHARMACY PHARMACIST LICENSE
PH100001426OtherDCDISTRICT OF COLUMBIA BOARD OF PHARMACY PHARMACIST LICENSE
0202211424OtherVAVIRGINIA BOARD OF PHARMACY PHARMACIST LICENSE

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
68455CAMDPharmacist
PH100001426DCMDPharmacist
20691MDMDPharmacist
0202211424VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1669873899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 BOURNEFIELD WAY",
            "address_2": "SUITE D",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047815",
            "telephone_number": "301-879-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 BOURNEFIELD WAY",
            "address_2": "SUITE D",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047815",
            "telephone_number": "301-879-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "ANDREW",
        "middle_name": "QUIROGA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "20691",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211424",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001426",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHARMACY PHARMACIST LICENSE",
            "identifier": "20691",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY PHARMACIST LICENSE",
            "identifier": "68455",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISTRICT OF COLUMBIA BOARD OF PHARMACY PHARMACIST LICENSE",
            "identifier": "PH100001426",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF PHARMACY PHARMACIST LICENSE",
            "identifier": "0202211424",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.