Active NPI
Sonya Nudelman
- Pharmacist
- Lutherville, MD
National Provider Identifier
1699016915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12143
- Practice address
- 1447 York Rd
Lutherville, MD 21093-6017 - Phone
- (410) 339-5659
- Fax
- (410) 339-5650
- NPI assigned
- Mar 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12143 | MD | Primary |
Addresses
Primary practice location
1447 York Rd
Lutherville, MD 21093-6017
Mailing address
3509 Coventry CT Dr
Ellicott City, MD 21042
Phone (410) 461-8364
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1699016915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 COVENTRY CT DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-461-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 YORK RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936017",
"telephone_number": "410-339-5659",
"fax_number": "410-339-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUDELMAN",
"first_name": "SONYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.