Healthcare Provider Details

I. General information

NPI: 1477485886
Provider Name (Legal Business Name): ALEXANDRA SIMMS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1590
US

IV. Provider business mailing address

22 S GREENE ST
BALTIMORE MD
21201-1590
US

V. Phone/Fax

Practice location:
  • Phone: 321-354-8498
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number28762
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: