Individual provider Active NPI

Patricia Capotosto Drutch

  • Pharmacist
  • Ellicott City, MD
National Provider Identifier
1801200258
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11365 Issued in MD
Practice address
10000 Baltimore National Pike
Safeway Pharmacy
Ellicott City, MD 21042-3612
Phone
(410) 750-3002
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11365 MD Primary

Addresses

Primary practice location

10000 Baltimore National Pike
Safeway Pharmacy
Ellicott City, MD 21042-3612

Mailing address

3821 Paul Mill Rd
Ellicott City, MD 21042-3771
Phone (410) 750-2148

Other identifiers 2

IdentifierTypeStateIssuer
611800OtherMDNABP E-PROFILE
11365OtherMDMARYLAND 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

State licenses

LicenseStateTypeSpecialty
11365MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1801200258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 PAUL MILL RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423771",
            "telephone_number": "410-750-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BALTIMORE NATIONAL PIKE",
            "address_2": "SAFEWAY PHARMACY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423612",
            "telephone_number": "410-750-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUTCH",
        "first_name": "PATRICIA",
        "middle_name": "CAPOTOSTO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP E-PROFILE",
            "identifier": "611800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE BOARD OF PHARMACY",
            "identifier": "11365",
            "state": "MD"
        }
    ],
    "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 Jun 13, 2014; 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.