Mehret Y Banjaw, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH100001202 Issued in DC

Practice address

3642 Georgia Ave NW
Washington, DC 20010-1621

Phone

(202) 722-2735

Fax

(202) 722-4140

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• District of Columbia CVS Pharmacy, LLC

  dba CVS Pharmacy# 02787

  • Pharmacy
  • Washington, DC
  • NPI 1295052157
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1104421882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8006 SAMUEL WALLIS ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792348",
            "telephone_number": "703-839-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101621",
            "telephone_number": "202-722-2735",
            "fax_number": "202-722-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANJAW",
        "first_name": "MEHRET",
        "middle_name": "Y",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sulaiman Bangura
• Wara Bangura
• Leen Bani Hani, M.D
• Zeina Bani Hani
• Ete Baniaba
• Julie A Banjo
• Oluwafemi Banjo
• William O Bank, MD
• Liknesh L Bankashe, HOME HEALTH AIDE
• Michael Bankert, LICSW

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.