Active NPI
Adesuwa Theresa Benedict
- Pharmacist
- Essex, MD
National Provider Identifier
1801489554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23009
- Practice address
- 6 S Marlyn Ave
Essex, MD 21221-5021 - Phone
- (410) 918-0790
- NPI assigned
- Feb 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 23009 | MD | Primary |
Addresses
Primary practice location
6 S Marlyn Ave
Essex, MD 21221-5021
Mailing address
519 Whinstone Dr
Reisterstown, MD 21136-6251
Phone (516) 662-9152
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 |
|---|---|---|---|
| 23009 | MD | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1801489554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 WHINSTONE DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211366251",
"telephone_number": "516-662-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 S MARLYN AVE",
"city": "ESSEX",
"state": "MD",
"postal_code": "212215021",
"telephone_number": "410-918-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "ADESUWA",
"middle_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-13",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.