Active NPI
Gidey Amare
- Pharmacist
- Washington, DC
National Provider Identifier
1114581105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100000757
- Practice address
- 441 4TH St NW Ste 900S
Washington, DC 20001-2714 - Phone
- (202) 442-5952
- NPI assigned
- Apr 25, 2019
- Last updated
- Apr 25, 2019
- 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 | PH100000757 | DC | Primary |
Addresses
Primary practice location
441 4TH St NW Ste 900S
Washington, DC 20001-2714
Mailing address
13318 Georgia Ave
Silver Spring, MD 20906-5339
Phone (202) 290-7337
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 |
|---|---|---|---|
| PH100000757 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1114581105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13318 GEORGIA AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209065339",
"telephone_number": "202-290-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 4TH ST NW STE 900S",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200012714",
"telephone_number": "202-442-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMARE",
"first_name": "GIDEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.