Ebisindor Victoria Awala

Primary specialty

PharmacistTaxonomy code 183500000X

License

29811 Issued in MD

Practice address

5429 Reisterstown Rd
Baltimore, MD 21215-4404

Phone

(443) 869-6787

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1457731671
  NPD
• Peoples Services Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1215958269
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1881435444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052542",
            "telephone_number": "410-276-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154404",
            "telephone_number": "443-869-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWALA",
        "first_name": "EBISINDOR",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "29811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharadha Avula, DDS
• Jude Awad
• Amal H Awadalla, MD
• Await Rsa
• Khalid Awaji
• Kathleen A. Awalt, M.D.
• Hasan Abdulrehman Awan, M.D
• Iman Awan, MD
• Omer A Awan, MD
• Yousaf Awan, M.D.

• Pharmacist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.