Active NPI
Collins Brobbey Edusei, PHARM.D.
- Pharmacist
- Hanover, MD
National Provider Identifier
1912528191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27206
- Practice address
- 7706 Milestone Pkwy
Hanover, MD 21076-1754 - Phone
- (410) 799-2020
- NPI assigned
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27206 | MD | Primary |
Addresses
Primary practice location
7706 Milestone Pkwy
Hanover, MD 21076-1754
Mailing address
7706 Milestone Pkwy
Hanover, MD 21076-1754
Phone (410) 799-2020
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 |
|---|---|---|---|
| 27206 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1912528191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7706 MILESTONE PKWY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761754",
"telephone_number": "410-799-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7706 MILESTONE PKWY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761754",
"telephone_number": "410-799-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDUSEI",
"first_name": "COLLINS",
"middle_name": "BROBBEY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "27206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.