Provider Demographics
NPI:1073280715
Name:WINSTON, NYGEL RASHAD (RPH)
Entity type:Individual
Prefix:DR
First Name:NYGEL
Middle Name:RASHAD
Last Name:WINSTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:DR
Other - First Name:NYGEL
Other - Middle Name:RASHAD
Other - Last Name:WINSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6709 YATARUBA DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5666
Mailing Address - Country:US
Mailing Address - Phone:410-298-3541
Mailing Address - Fax:
Practice Address - Street 1:6301 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2636
Practice Address - Country:US
Practice Address - Phone:443-524-4535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-29
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist