Active NPI
Selamawit Mekonnen, PHARMD
- Pharmacist
- Fort Washington, MD
National Provider Identifier
1093247686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56868
- Practice address
- 11911 Bizet CT
Fort Washington, MD 20744-5107 - Phone
- (202) 903-7242
- NPI assigned
- Apr 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24593 | MD | |
| Pharmacist | 183500000X | 56868 | TX | Primary |
Addresses
Primary practice location
11911 Bizet CT
Fort Washington, MD 20744-5107
Mailing address
24288 Three Notch Rd
Hollywood, MD 20636-4628
Phone (301) 373-3113
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24593 | MD | MD | Social Worker |
| 56868 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491004800000",
"number": "1093247686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24288 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364628",
"telephone_number": "301-373-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 BIZET CT",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207445107",
"telephone_number": "202-903-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKONNEN",
"first_name": "SELAMAWIT",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-01",
"last_updated": "2017-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24593",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
- Medline Health Services
- Medstar Medical Group - Southern Maryland LLC
- Medstar Medical Group - Southern Maryland LLC
- Medstar Medical Group - Southern Maryland LLC
- Medstar Southern Maryland Physicians, LLC
- Mending Heart Christian Counseling Services
- Hengameh Nouri Mesbahi, MD
- Metro Family Support Services
- Metro Star Sleep Care Center LLC
- A'Lisa Meus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.