1174590129 NPI number — MISS MARY CAROLINE BINGHAY PHARMD

Table of content: MISS MARY CAROLINE BINGHAY PHARMD (NPI 1174590129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174590129 NPI number — MISS MARY CAROLINE BINGHAY PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BINGHAY
Provider First Name:
MARY
Provider Middle Name:
CAROLINE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174590129
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4808 MOORLAND LN
Provider Second Line Business Mailing Address:
# 510
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20814-6110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-986-5202
Provider Business Mailing Address Fax Number:
301-217-5305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9901 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20850-3357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-279-6025
Provider Business Practice Location Address Fax Number:
301-217-5305
Provider Enumeration Date:
03/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  15170 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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