Individual provider Active NPI

Samuel Meunkefor Aze, RPH

  • Pharmacist
  • Seat Pleasant, MD
National Provider Identifier
1003116955
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18118 Issued in MD
Practice address
6300 Central Ave
Seat Pleasant, MD 20743-2163
Phone
(301) 350-3502
Fax
(301) 350-7556
NPI assigned
Oct 26, 2010
Last updated
Oct 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18118 MD Primary

Addresses

Primary practice location

6300 Central Ave
Seat Pleasant, MD 20743-2163

Mailing address

6300 Central Ave
Seat Pleasant, MD 20743-2163
Phone (301) 350-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
18118MDMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1003116955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CENTRAL AVE",
            "city": "SEAT PLEASANT",
            "state": "MD",
            "postal_code": "207432163",
            "telephone_number": "301-350-3502",
            "fax_number": "301-350-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CENTRAL AVE",
            "city": "SEAT PLEASANT",
            "state": "MD",
            "postal_code": "207432163",
            "telephone_number": "301-350-3502",
            "fax_number": "301-350-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZE",
        "first_name": "SAMUEL",
        "middle_name": "MEUNKEFOR",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seat Pleasant, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.