Mehrnoosh Shokrai, PHARMD
Individual provider Active NPI Pharmacist · Colesville, MD
NPI 1902147408 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1902147408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14753 (MD)
- Practice address
- 12201 Plum Orchard Dr
Colesville, MD 20904-7803 - Phone
- (301) 572-1055
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14753 | MD | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14753 | MD | Yes |
Addresses
Primary practice location
12201 Plum Orchard Dr
Colesville, MD 20904-7803
Mailing address
13604 Glenhurst Rd
North Potomac, MD 20878-3921
Phone (240) 498-4281
Other providers in Colesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.