Anjelo Mida Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PW0203 Issued in MD

Legal business name

ANJELO MIDA INC

Doing business as

Anjelo Mida Inc

Practice address

1502 Joh Ave
Ste 100
Baltimore, MD 21227-1137

Phone

(410) 737-3151

Fax

(410) 737-8450

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Loreen Wutoh, RPH

Title

Pharmacy Manager

Phone

(410) 737-3151

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ANJELO MIDA INC Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1902967078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 JOH AVE",
            "address_2": "STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271137",
            "telephone_number": "410-737-3151",
            "fax_number": "410-737-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 JOH AVE",
            "address_2": "STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271137",
            "telephone_number": "410-737-3151",
            "fax_number": "410-737-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJELO MIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "WUTOH",
        "authorized_official_first_name": "LOREEN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "410-737-3151",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "PW0203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2125234",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000072800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANJELO MIDA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anil Uberoi MD, PA
• Eman Anis Daoud
• Anisa's Transportation Van Services
• Jennifer Sumbilla Anisko, C.R.N.P
• Clara Anizoba, MD
• Jacob Anjum
• Mohammed Talha Anjum
• Michael Alan Ankrom, M.D.
• Anna Finkler DDS LLC
• Akshaya Vijaya Annapragada

• Long Term Care Pharmacy in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Long Term Care Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.