ANNAPOLIS PEDIATRICS
NPI 1285717512
Non-Pharmacy Dispensing Site in Annapolis, MD

Active since October 23, 2006CLIA Certified · 3 labs
200 FORBES ST, ANNAPOLIS, MD 21401(410) 263-6363(410) 263-7551 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Annapolis Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNAPOLIS PEDIATRICS (NPI 1285717512) is a healthcare organization registered as a non-pharmacy dispensing site in Annapolis, Maryland and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1285717512
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameANNAPOLIS PEDIATRICS
Location Address200 FORBES STAnnapolis, MD 21401-1538
Mailing Address200 Forbes StAnnapolis, MD 21401-1538
Fax(410) 263-7551
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285717512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MD · D0008186
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
200 FORBES ST, Annapolis, MD 21401

Other Names 1

Doing Business AsAnnapolis Pediatrics

Other Identifiers 1

Other2124713Other Id Number-commercial Number

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0219876

Annapolis Pediatrics At Annapolis · Annapolis, MD
Active · expires Aug 31, 2028
CLIA Number21D0219876
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKatherine M. Edwards
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics At Annapolis200 Forbes Street, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2263017

Annapolis Pediatrics- Pasadena · Pasadena, MD
Active · expires Jun 21, 2028
CLIA Number21D2263017
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorJames W. Rice
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics- Pasadena18 Magothy Beach Road Suite C, Pasadena, MD 21122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0214058

Annapolis Pediatrics At Crofton · Crofton, MD
Active · expires Feb 9, 2027
CLIA Number21D0214058
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorKatherine Edwards
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics At Crofton1655 Crofton Blvd Suite 301, Crofton, MD 21114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
200 FORBES ST, SUITE 301
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST
ANNAPOLIS, MD 21401
Registered Nurse (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annapolis Pediatrics's NPI number?

The NPI number for Annapolis Pediatrics is 1285717512. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Annapolis Pediatrics located?

Annapolis Pediatrics is located at 200 Forbes St, Annapolis, MD 21401. The listed phone number is (410) 263-6363.

What is Annapolis Pediatrics's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Annapolis Pediatrics hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Annapolis Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.