Active NPI
Christiana Duodu
- Pharmacist
- Laurel, MD
National Provider Identifier
1780284158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20034
- Practice address
- 3549 Russett GRN E
Laurel, MD 20724-1810 - Phone
- (301) 604-0148
- Fax
- (301) 604-2839
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 20034 | MD | Primary |
Addresses
Primary practice location
3549 Russett GRN E
Laurel, MD 20724-1810
Mailing address
16206 Tilghman CT
Laurel, MD 20707-2675
Phone (513) 293-8425
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20034 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1780284158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16206 TILGHMAN CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207072675",
"telephone_number": "513-293-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3549 RUSSETT GRN E",
"city": "LAUREL",
"state": "MD",
"postal_code": "207241810",
"telephone_number": "301-604-0148",
"fax_number": "301-604-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUODU",
"first_name": "CHRISTIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20034",
"primary": true
}
],
"identifiers": [],
"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 Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.