Individual provider Active NPI

Maisha Bi-Bi McCoy

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1821749144
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13525 Issued in MD
Practice address
643 N Carey St
Baltimore, MD 21217-2996
Phone
(443) 712-8054
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13525 MD Primary

Addresses

Primary practice location

643 N Carey St
Baltimore, MD 21217-2996

Mailing address

643 N Carey St
Baltimore, MD 21217-2996
Phone (443) 712-8054

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
13525MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe4Sure Pharmacy Solutions CurrentSince Jan 26, 2022 Accepting new patients
Breathe4Sure Pharmacy Solutions, LLC Current Accepting new patients

Locations

643 N Carey St
Baltimore, MD 21217
Phone (410) 728-6337

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1821749144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N CAREY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172996",
            "telephone_number": "443-712-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N CAREY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172996",
            "telephone_number": "443-712-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MAISHA",
        "middle_name": "BI-BI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13525",
            "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 Jan 18, 2022; 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.