Active NPI
Angela Faye Perhac
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Baltimore, MD
National Provider Identifier
1669940797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 26371
- Practice address
- 5901 Holabird Ave Ste a
Baltimore, MD 21224-6015 - Phone
- (410) 288-8000
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202214898 | VA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26371 | MD | Primary |
Addresses
Primary practice location
5901 Holabird Ave Ste a
Baltimore, MD 21224-6015
Mailing address
5901 Holabird Ave Ste a
Baltimore, MD 21224-6015
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 855-1352
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aperhac1@jhmi.edu |
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 |
|---|---|---|---|
| 0202214898 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 26371 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1669940797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 HOLABIRD AVE STE A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212246015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 HOLABIRD AVE STE A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212246015",
"telephone_number": "410-288-8000"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-855-1352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERHAC",
"first_name": "ANGELA",
"middle_name": "FAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202214898",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "26371",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aperhac1@jhmi.edu",
"affiliation": "N",
"address_1": "5901 Holabird Ave Ste A",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212246015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.