Active NPI
Edmond Ngazal
- Pharmacist
- Baltimore, MD
National Provider Identifier
1811448392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20027
- Practice address
- 1107 N Point Blvd Ste 225
Baltimore, MD 21224-3401 - Phone
- (443) 530-3731
- Fax
- (443) 530-3859
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- 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 | 20027 | MD | Primary |
Addresses
Primary practice location
1107 N Point Blvd Ste 225
Baltimore, MD 21224-3401
Mailing address
1107 N Point Blvd Ste 225
Baltimore, MD 21224-3401
Phone (443) 530-3731
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 |
|---|---|---|---|
| 20027 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeway Holdings LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Dundalk, MD
- NPI 1215397385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1811448392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 N POINT BLVD STE 225",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243401",
"telephone_number": "443-530-3731",
"fax_number": "443-530-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 N POINT BLVD STE 225",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243401",
"telephone_number": "443-530-3731",
"fax_number": "443-530-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAZAL",
"first_name": "EDMOND",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.