Expo E Mart, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05115 Issued in MD

Legal business name

EXPO E MART, LLC

Doing business as

Expo E Mart Pharmacy

Practice address

1101 University Blvd
Expo E Mart Pharmacy
Takoma Park, MD 22192

Phone

(301) 431-1151

NPI assigned

Sep 12, 2011

Organization subpart

No

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

Authorized official

Name

Suzanne F Delyon

Title

President

Phone

(703) 304-4342

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Expo E Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1073895413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 UNIVERSITY BLVD.EAST",
            "address_2": "SUITE 1350",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126207",
            "telephone_number": "703-304-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 UNIVERSITY BLVD",
            "address_2": "EXPO E MART PHARMACY",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "22192",
            "telephone_number": "301-431-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPO E MART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "DELYON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-304-4342"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH, STATE PHARMACY PERMIT",
            "identifier": "P05115",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expo E Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Fernanda Esteve Gonzalez, LPC
• Fritzgerald Nwoteze Esunji
• Isabelle Ndip Etakatako
• Elvire S Etame
• John M Evans, MD
• Helen Eyen Epse Werengie, HHA
• Vina Wonje Manyor Eyong
• Stella Fabiyi
• Batomen Marcelle Fabo I, D
• Sekou Fahnbulleh

• Community/Retail Pharmacy in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.