Active NPI
Homa Nusraty
- Pharmacist
- Potomac, MD
National Provider Identifier
1104298678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23587
- Practice address
- 8608 Red Coat LN
Potomac, MD 20854-2543 - Phone
- (301) 675-2510
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 23587 | MD | Primary |
Addresses
Primary practice location
8608 Red Coat LN
Potomac, MD 20854-2543
Mailing address
10101 River Rd
Potomac, MD 20854-4904
Phone (301) 983-4890
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 |
|---|---|---|---|
| 23587 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1104298678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 RIVER RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544904",
"telephone_number": "301-983-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8608 RED COAT LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542543",
"telephone_number": "301-675-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSRATY",
"first_name": "HOMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.