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NPI 1508273657ActiveOrganization· Pharmacist· Upper Marlboro, MD

Pharmacist in Upper Marlboro, Maryland, registered in NPPES in July 2014. The authorized official on file is Kendra Prater, Pharmacy Supervisor.

Overview

NPI1508273657
StatusActive
Entity typeOrganization
NPI issuedJul 21, 2014
Last updated in NPPESJul 21, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X14747MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacist providers in Upper Marlboro

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