Individual provider Active NPI

Mohamed Aliyu Barrie, PHARMD

  • Pharmacist
  • Brunswick, MD
National Provider Identifier
1790046845
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20400 Issued in MD
Practice address
92 Souder Rd
Brunswick, MD 21716-1245
Phone
(301) 834-8100
Fax
(301) 834-4481
NPI assigned
Jun 5, 2012
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20400 MD Primary

Addresses

Primary practice location

92 Souder Rd
Brunswick, MD 21716-1245

Mailing address

12805 Little Elliott Dr Apt 6
Hagerstown, MD 21742-2689
Phone (301) 302-7832

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 Pharmacy

State licenses

LicenseStateTypeSpecialty
20400MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1790046845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 LITTLE ELLIOTT DR APT 6",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422689",
            "telephone_number": "301-302-7832",
            "fax_number": "301-302-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SOUDER RD",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217161245",
            "telephone_number": "301-834-8100",
            "fax_number": "301-834-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIE",
        "first_name": "MOHAMED",
        "middle_name": "ALIYU",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "20400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.