Active NPI
Martha Sibert Pride, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Cobb Island, MD
National Provider Identifier
1790011500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10000
- Practice address
- 18756 Wicomico River Dr.
B. 349
Cobb Island, MD 20625-0349 - Phone
- (301) 259-4187
- NPI assigned
- Oct 29, 2009
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10000 | MD | Primary |
Addresses
Primary practice location
18756 Wicomico River Dr.
B. 349
Cobb Island, MD 20625-0349
Mailing address
18756 Wicomico River Dr.
P.O. Box 349
Cobb Island, MD 20625-0349
Phone (301) 259-4187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000 | Other | MD | STATE BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1790011500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18756 WICOMICO RIVER DR.",
"address_2": "P.O. BOX 349",
"city": "COBB ISLAND",
"state": "MD",
"postal_code": "206250349",
"telephone_number": "301-259-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18756 WICOMICO RIVER DR.",
"address_2": "B. 349",
"city": "COBB ISLAND",
"state": "MD",
"postal_code": "206250349",
"telephone_number": "301-259-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDE",
"first_name": "MARTHA",
"middle_name": "SIBERT",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "10000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "10000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cobb Island, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.