Samir Balile, PHARMD
Individual provider Active NPI Community/Retail Pharmacy · Landover, MD
NPI 1760040968 · NPPES record last updated Jun 3, 2019
Key facts
- NPI
- 1760040968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH100002129 (DC)
- Practice address
- 8301 Professional PL Ste 115
Landover, MD 20785-2351 - Phone
- (202) 819-9989
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100002129 | DC | MD | Community/Retail Pharmacy |
| 0202212304 | VA | MD | Community/Retail Pharmacy |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0202212304 | VA | |
| Community/Retail Pharmacy | 3336C0003X | PH100002129 | DC | Yes |
Addresses
Primary practice location
8301 Professional PL Ste 115
Landover, MD 20785-2351
Mailing address
1537 8TH St NW
Washington, DC 20001-3205
Phone (571) 435-2028
Other providers in Landover, MD
- Danielle Marie Bagley
- Mariama Bah
- Alexis Bailey
- Tiana Baker
- Bali Healthcare, Inc.
- Ganiyat I Balogun
- Janet Bamidele
- Tamika Nichelle Banks
- Rachel Barger
- Carlisa Barnes
All providers in Landover, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.