Active NPI
Michael Scott Mioduszewski Jr., PHARM.D
- Pharmacist
- Baltimore, MD
National Provider Identifier
1720503410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25101
- Practice address
- 1903 Armco Way
Baltimore, MD 21222-4703 - Phone
- (443) 416-7402
- NPI assigned
- Aug 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25101 | MD | Primary |
Addresses
Primary practice location
1903 Armco Way
Baltimore, MD 21222-4703
Mailing address
1903 Armco Way
Baltimore, MD 21222-4703
Phone (443) 416-7402
Other practice location 1
7845 Wise Ave
Baltimore, MD 21222-3339
Phone (410) 285-1401
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720503410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 ARMCO WAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212224703",
"telephone_number": "443-416-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 ARMCO WAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212224703",
"telephone_number": "443-416-7402"
}
],
"practiceLocations": [
{
"address_1": "7845 Wise Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212223339",
"country_code": "US",
"telephone_number": "410-285-1401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIODUSZEWSKI",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_suffix": "Jr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.