Active NPI
Joseph Michael Cusimano
- Psychiatric Pharmacist
- Ellicott City, MD
National Provider Identifier
1790665875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 0202218900
- Practice address
- 3365 Oak West Dr
Ellicott City, MD 21043-4347 - Phone
- (480) 266-9975
- NPI assigned
- Sep 8, 2025
- Last updated
- Sep 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 5302046781 | MI | |
| Psychiatric Pharmacist | 1835P1300X | 0202218900 | VA | Primary |
Addresses
Primary practice location
3365 Oak West Dr
Ellicott City, MD 21043-4347
Mailing address
3365 Oak West Dr
Ellicott City, MD 21043-4347
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 |
|---|---|---|---|
| 5302046781 | MI | MD | Psychiatric Pharmacist |
| 0202218900 | VA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1790665875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3365 OAK WEST DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 OAK WEST DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434347",
"telephone_number": "480-266-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSIMANO",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MI",
"license": "5302046781",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "VA",
"license": "0202218900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.