Tippawan Nonthanam

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

28307 Issued in MD

Practice address

9719 Traville Gateway Dr
Rockville, MD 20850-7408

Phone

(240) 725-8956

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Avail RX LLC

  • Community/Retail Pharmacy
  • Annapolis, MD
  • NPI 1063235653
  NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1992461370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042631",
            "telephone_number": "240-725-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 TRAVILLE GATEWAY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507408",
            "telephone_number": "240-725-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NONTHANAM",
        "first_name": "TIPPAWAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28307",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "28307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramani Sri Nokku, M.D
• Kelsey Nolan
• Sheila Kathleen Nolan, CRNP
• Lanae Noland
• Jessie Nolasco-Sandino, LMSW
• Alaiha Noor
• Mahshid Noorjahan
• Rabia Noorzad
• Nora Talavera Wellness & Health Mental LLC
• Hamed Sayed Norani, DC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Rockville, MD
• Providers in Rockville, MD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.