Active NPI
Thomas Dale Wieland, RPH
- Pharmacist
- Brooklyn Park, MD
National Provider Identifier
1932136710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10320
- Practice address
- 5507 Ritchie Hwy Ste B
Brooklyn Park, MD 21225-3472 - Phone
- (410) 355-3610
- Fax
- (410) 355-7248
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 10320 | MD | Primary |
Addresses
Primary practice location
5507 Ritchie Hwy Ste B
Brooklyn Park, MD 21225-3472
Mailing address
2464 Symphony LN
Gambrills, MD 21054-1579
Phone (410) 672-5881
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10320 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ritchie Pharmacy LLC | Current | Accepting new patients |
Locations
5507 Ritchie Hwy
Ste B
Brooklyn Park, MD 21225
Phone (410) 355-3610
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": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1932136710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 SYMPHONY LN",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541579",
"telephone_number": "410-672-5881",
"fax_number": "410-672-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 RITCHIE HWY STE B",
"city": "BROOKLYN PARK",
"state": "MD",
"postal_code": "212253472",
"telephone_number": "410-355-3610",
"fax_number": "410-355-7248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELAND",
"first_name": "THOMAS",
"middle_name": "DALE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.