Active NPI
Angela Ann Passero, PHARM.D.
- Psychiatric Pharmacist
- Auburn University, AL
National Provider Identifier
1851399166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 0202206155
- Practice address
- 111 Pharmacy Building
Auburn University, AL 36849-0001 - Phone
- (205) 975-8192
- NPI assigned
- Jul 11, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 0202206155 | VA | Primary |
| Psychiatric Pharmacist | 1835P1300X | 41996 | TX |
Addresses
Primary practice location
111 Pharmacy Building
Auburn University, AL 36849-0001
Mailing address
121 Springdale Dr
Gardendale, AL 35071-4736
Phone (205) 975-8192
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41996 | TX | MD | Psychiatric Pharmacist |
| 0202206155 | VA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1851399166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SPRINGDALE DR",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350714736",
"telephone_number": "205-975-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PHARMACY BUILDING",
"city": "AUBURN UNIVERSITY",
"state": "AL",
"postal_code": "368490001",
"telephone_number": "205-975-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSERO",
"first_name": "ANGELA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "VA",
"license": "0202206155",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "TX",
"license": "41996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn University, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.