Individual provider Active NPI

Peter T Mbi, PHARM.D., PH.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Laurel, MD
National Provider Identifier
1760776157
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
12341 Issued in MD
Practice address
7500 Montpelier Rd
Laurel, MD 20723-6012
Phone
(240) 786-6045
Fax
(240) 786-6054
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 12341 MD Primary
Pharmacist 183500000X A1-0002390 DE

Addresses

Primary practice location

7500 Montpelier Rd
Laurel, MD 20723-6012

Mailing address

7500 Montpelier Rd Ste 106
Laurel, MD 20723-6012
Phone (240) 786-6045

Other identifiers 1

IdentifierTypeStateIssuer
022848600MedicaidMD

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 Philosophy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
12341MDMDClinical Social Worker
A1-0002390DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Pharmacy, Inc CurrentSince Mar 21, 2021 Accepting new patients

Locations

7500 Montpelier Rd
Ste 106
Laurel, MD 20723
Phone (240) 786-6045

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1760776157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MONTPELIER RD STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236012",
            "telephone_number": "240-786-6045",
            "fax_number": "240-786-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MONTPELIER RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236012",
            "telephone_number": "240-786-6045",
            "fax_number": "240-786-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBI",
        "first_name": "PETER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "12341",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0002390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022848600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.