Active NPI
Deangelo Price
- Pharmacist
- Glen Burnie, MD
National Provider Identifier
1679161053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21629
- Practice address
- 7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431 - Phone
- (410) 430-7694
- NPI assigned
- Jan 1, 2021
- Last updated
- Jan 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 21629 | MD | Primary |
Addresses
Primary practice location
7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431
Mailing address
1303 Thornden Rd
Rockville, MD 20851-2157
Phone (141) 043-0769
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 |
|---|---|---|---|
| 21629 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609459200000",
"number": "1679161053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 THORNDEN RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208512157",
"telephone_number": "141-043-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7095 BALTIMORE ANNAPOLIS BLVD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210611431",
"telephone_number": "410-430-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DEANGELO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-01",
"last_updated": "2021-01-01",
"certification_date": "2021-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.