Active NPI
Matthew Smith
- Pharmacy Technician
- Halethorpe, MD
National Provider Identifier
1851967913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T18255
- Practice address
- 1400 Sulphur Spring Rd
Halethorpe, MD 21227-2701 - Phone
- (410) 737-9221
- NPI assigned
- May 31, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T18255 | MD | Primary |
Addresses
Primary practice location
1400 Sulphur Spring Rd
Halethorpe, MD 21227-2701
Mailing address
4405 Ridge Dr
Baltimore, MD 21229-5353
Phone (410) 247-9354
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 |
|---|---|---|---|
| T18255 | MD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1851967913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 RIDGE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295353",
"telephone_number": "410-247-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SULPHUR SPRING RD",
"city": "HALETHORPE",
"state": "MD",
"postal_code": "212272701",
"telephone_number": "410-737-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-31",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "T18255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Halethorpe, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.