Individual provider Active NPI

Virginia Rose Smith, CPHT

  • Pharmacy Technician
  • Abingdon, MD
National Provider Identifier
1730579210
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T05786 Issued in MD
Practice address
403 Constant Friendship Blvd
Abingdon, MD 21009-2566
Phone
(410) 670-9001
Fax
(443) 409-3125
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T05786 MD Primary

Addresses

Primary practice location

403 Constant Friendship Blvd
Abingdon, MD 21009-2566

Mailing address

403 Constant Friendship Blvd
Abingdon, MD 21009-2566
Phone (410) 670-9001

Other identifiers 2

IdentifierTypeStateIssuer
520107010101751OtherMDPTCB
T05786OtherMDMARYLAND LICENSE

Other names 1

  • Virginia Rose Ammerman Former name

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

LicenseStateTypeSpecialty
T05786MDMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1730579210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CONSTANT FRIENDSHIP BLVD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092566",
            "telephone_number": "410-670-9001",
            "fax_number": "443-409-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CONSTANT FRIENDSHIP BLVD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092566",
            "telephone_number": "410-670-9001",
            "fax_number": "443-409-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VIRGINIA",
        "middle_name": "ROSE",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MD",
            "license": "T05786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "520107010101751",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "T05786",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "AMMERMAN",
            "middle_name": "ROSE",
            "credential": "CPHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.