Active NPI
David T Diwa, PHARM.D.
- Pharmacotherapy Pharmacist
- Columbia, MD
National Provider Identifier
1679791925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 14704
- Practice address
- 6107 Cliffside TRL
Columbia, MD 21045-7422 - Phone
- (107) 360-9904
- NPI assigned
- Apr 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031445 | MI | |
| Pharmacotherapy Pharmacist | 1835P1200X | 14704 | MD | Primary |
Addresses
Primary practice location
6107 Cliffside TRL
Columbia, MD 21045-7422
Mailing address
6107 Cliffside TRL
Columbia, MD 21045-7422
Phone (410) 290-0125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031445 | MI | MD | Pharmacist |
| 14704 | MD | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1679791925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6107 CLIFFSIDE TRL",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210457422",
"telephone_number": "410-290-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6107 CLIFFSIDE TRL",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210457422",
"telephone_number": "107-360-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIWA",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031445",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MD",
"license": "14704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.