Active NPI
Samuel I Kuti
- Pharmacist
- Temple Hills, MD
National Provider Identifier
1093896060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11128
- Practice address
- 3611 Branch Ave
Temple Hills, MD 20748-1242 - Phone
- (301) 423-8070
- Fax
- (301) 423-7707
- NPI assigned
- Oct 18, 2006
- 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 | 11128 | MD | Primary |
Addresses
Primary practice location
3611 Branch Ave
Temple Hills, MD 20748-1242
Mailing address
808 Darien PL
Largo, MD 20774-5733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11128 | MD | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gig Pharmacy and Home Healthcare Services LLC | Current | Accepting new patients |
Locations
3611 Branch Ave
Temple Hills, MD 20748
Phone (301) 899-2100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Temple Hills, MD
- NPI 1942399639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093896060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 DARIEN PL",
"city": "LARGO",
"state": "MD",
"postal_code": "207745733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 BRANCH AVE",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481242",
"telephone_number": "301-423-8070",
"fax_number": "301-423-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTI",
"first_name": "SAMUEL",
"middle_name": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "11128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.