Individual provider Active NPI

Preety Raina

  • Pharmacist
  • Frederick, MD
National Provider Identifier
1669878369
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22020 Issued in MD
Practice address
190 Thomas Johnson Dr
# 3
Frederick, MD 21702-4364
Phone
(301) 662-0000
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22020 MD Primary

Addresses

Primary practice location

190 Thomas Johnson Dr
# 3
Frederick, MD 21702-4364

Mailing address

190 Thomas Johnson Dr
# 3
Frederick, MD 21702-4364
Phone (301) 662-0000

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

LicenseStateTypeSpecialty
22020MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1669878369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 THOMAS JOHNSON DR",
            "address_2": "# 3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024364",
            "telephone_number": "301-662-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 THOMAS JOHNSON DR",
            "address_2": "# 3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024364",
            "telephone_number": "301-662-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "PREETY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.