Healthcare Provider Details

I. General information

NPI: 1457217358
Provider Name (Legal Business Name): ANILA BERISHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 YORK RD
TIMONIUM MD
21093-5119
US

IV. Provider business mailing address

1801 YORK RD
TIMONIUM MD
21093-5119
US

V. Phone/Fax

Practice location:
  • Phone: 443-470-4050
  • Fax:
Mailing address:
  • Phone: 443-470-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30711
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: