Active NPI
Yared Meaza, RPH
- Pharmacist
- Wheaton, MD
National Provider Identifier
1043439482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12320
- Practice address
- 2201 Randolph Rd
Wheaton, MD 20902-1307 - Phone
- (240) 514-1009
- Fax
- (240) 514-1012
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12320 | MD | Primary |
Addresses
Primary practice location
2201 Randolph Rd
Wheaton, MD 20902-1307
Mailing address
2201 Randolph Rd
Silver Spring, MD 20902-1307
Phone (240) 514-1009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12320 | Other | MD | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12320 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1043439482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 RANDOLPH RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021307",
"telephone_number": "240-514-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 RANDOLPH RD",
"city": "WHEATON",
"state": "MD",
"postal_code": "209021307",
"telephone_number": "240-514-1009",
"fax_number": "240-514-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAZA",
"first_name": "YARED",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "12320",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.