Individual provider Active NPI

Mubeen Amjad

  • Pharmacist
  • Bowie, MD
National Provider Identifier
1851175764
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202221505 Issued in VA
Practice address
10421 Beacon Ridge Dr # 303
Bowie, MD 20721-2944
Phone
(240) 726-9131
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202221505 VA Primary
Pharmacist 183500000X 0202221505 MD

Addresses

Primary practice location

10421 Beacon Ridge Dr # 303
Bowie, MD 20721-2944

Mailing address

10421 Beacon Ridge Dr # 303
Bowie, MD 20721-2944
Phone (240) 726-9131

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
0202221505MDMDPharmacist
0202221505VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1851175764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 BEACON RIDGE DR # 303",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212944",
            "telephone_number": "240-726-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 BEACON RIDGE DR # 303",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212944",
            "telephone_number": "240-726-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD",
        "first_name": "MUBEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221505",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "0202221505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.