Provider Demographics
NPI:1396611299
Name:NYAMOR, MERCY ADERO (RPH)
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:ADERO
Last Name:NYAMOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 GLENALLAN AVE APT 224
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3581
Mailing Address - Country:US
Mailing Address - Phone:301-637-7277
Mailing Address - Fax:301-888-8277
Practice Address - Street 1:14446 LAYHILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1911
Practice Address - Country:US
Practice Address - Phone:301-637-7277
Practice Address - Fax:301-888-8277
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty