Atina Allamarvdasht, PHARMD

Individual provider Active NPI Pharmacist · Hanover, MD

NPI 1831712652 · NPPES record last updated May 27, 2020

Key facts

NPI
1831712652
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
25992 (MD)
Practice address
7706 Milestone Pkwy
Hanover, MD 21076-1754
Phone
(410) 799-2020
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
25992MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland CVS Pharmacy, L.L.C. Past
since May 31, 2020
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: atina.allamarvdasht@cvshealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25992 MD Yes

Addresses

Primary practice location

7706 Milestone Pkwy
Hanover, MD 21076-1754

Mailing address

7720 Cresap LN
Hanover, MD 21076-2247

Other identifiers

IdentifierTypeStateIssuer
25992OtherMDMARYLAND PHARMACY LICENSE NUMBER

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Atina.Allamarvdasht@cvshealth.com

Other providers in Hanover, MD

All providers in Hanover, MD · Pharmacist in Maryland

Sources for this page

Verify at the official NPI Registry.