Active NPI
Bertha Bate Ndje
- Pharmacist
- Towson, MD
National Provider Identifier
1972842300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17455
- Practice address
- 716 Dulaney Valley Rd
Towson, MD 21204-5109 - Phone
- (410) 207-2118
- NPI assigned
- Feb 5, 2013
- Sex
- Female
- 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 | 17455 | MD | Primary |
Addresses
Primary practice location
716 Dulaney Valley Rd
Towson, MD 21204-5109
Mailing address
195 Gittings Ave
Baltimore, MD 21212-2423
Phone (410) 207-2118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442546400 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17455 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BTCN, LLC | Current | Accepting new patients | |
| BTCN, LLC | Current | Accepting new patients |
Locations
716 Dulaney Valley Rd
Towson, MD 21204
Phone (410) 296-4900
Organizations & group practices 2
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.
-
dba Dulaney Valley health mart pharmacy
- Community/Retail Pharmacy
- Towson, MD
- NPI 1952642019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1972842300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 GITTINGS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122423",
"telephone_number": "410-207-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 DULANEY VALLEY RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045109",
"telephone_number": "410-207-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDJE",
"first_name": "BERTHA",
"middle_name": "BATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442546400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.