Active NPI
Shan Xing, PHARMD
- Pharmacist
- Kensington, MD
National Provider Identifier
1871888719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19175
- Practice address
- 10410 Kensington Pkwy
Kensington, MD 20895-2943 - Phone
- (301) 929-3634
- NPI assigned
- Jun 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60000820 | WA | |
| Pharmacist | 183500000X | 19175 | MD | Primary |
| Pharmacist | 183500000X | 0202208359 | VA |
Addresses
Primary practice location
10410 Kensington Pkwy
Kensington, MD 20895-2943
Mailing address
10410 Kensington Pkwy
Kensington, MD 20895-2943
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19175 | Other | MD | MARYLAND PHARMACY LICENSE |
| 0202208359 | Other | VA | VA PHARMACY LICENSE |
| PH60000820 | Other | WA | WA PHARMACY LICENSE |
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 |
|---|---|---|---|
| 19175 | MD | MD | Pharmacist |
| 0202208359 | VA | MD | Pharmacist |
| PH60000820 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1871888719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10410 KENSINGTON PKWY",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10410 KENSINGTON PKWY",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952943",
"telephone_number": "301-929-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XING",
"first_name": "SHAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60000820",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19175",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208359",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND PHARMACY LICENSE",
"identifier": "19175",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PHARMACY LICENSE",
"identifier": "0202208359",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA PHARMACY LICENSE",
"identifier": "PH60000820",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.