Healthcare Provider Details

I. General information

NPI: 1356221097
Provider Name (Legal Business Name): GIANNA ANTOINETTE MEJIA PHARMD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 REDLAND BLVD
ROCKVILLE MD
20850-5234
US

IV. Provider business mailing address

403 REDLAND BLVD
ROCKVILLE MD
20850-5234
US

V. Phone/Fax

Practice location:
  • Phone: 301-990-4350
  • Fax: 301-990-7248
Mailing address:
  • Phone: 301-990-4350
  • Fax: 301-990-7248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30516
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: