Healthcare Provider Details

I. General information

NPI: 1811771868
Provider Name (Legal Business Name): SHARI DENISE FOGELQUIST PHARMD, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 W BELVEDERE AVE
BALTIMORE MD
21215-5224
US

IV. Provider business mailing address

4313 TRAVANCORE CT
RANDALLSTOWN MD
21133-1315
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-7303
  • Fax:
Mailing address:
  • Phone: 918-344-0530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60493043
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number23683
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: