Active NPI
Therese Mbaku
- Pharmacist
- Hyattsville, MD
National Provider Identifier
1134768385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26972
- Practice address
- 5814 Baltimore Ave
Hyattsville, MD 20781-1623 - Phone
- (301) 637-2954
- NPI assigned
- Jan 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26972 | MD | Primary |
Addresses
Primary practice location
5814 Baltimore Ave
Hyattsville, MD 20781-1623
Mailing address
5814 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (301) 637-2954
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@padekhealth.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 26972 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578096000000",
"number": "1134768385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5814 BALTIMORE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811623",
"telephone_number": "301-637-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5814 BALTIMORE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811623",
"telephone_number": "301-637-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAKU",
"first_name": "THERESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-04",
"last_updated": "2020-01-04",
"certification_date": "2020-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26972",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@padekhealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "5814 Baltimore Ave",
"city": "Hyattsville",
"state": "MD",
"country_code": "US",
"postal_code": "207811623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.