Priscilla Dede Azu

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

24693 Issued in MD

Practice address

355 Market Square Dr
Prince Frederick, MD 20678-3173

Phone

(410) 535-5313

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1750821302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 COLUMBIA PIKE APT C1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042503",
            "telephone_number": "774-670-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MARKET SQUARE DR",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783173",
            "telephone_number": "410-535-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZU",
        "first_name": "PRISCILLA",
        "middle_name": "DEDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "24693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina A Athens, P.A.
• Jessica Lynn Atkisson
• Kathleen Anne Atkisson, M.A., J.D.
• Attune Wellness LLC
• Ali Azad, D.D.S.
• Mary Bachar, RN
• Hannah Badeaux
• Sharon Ann Baker, P D
• Robin L Baranowski, R.N., B.S.N.
• Vicki Larna Barnett, LCPC

• Pharmacotherapy Pharmacist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Pharmacotherapy Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.