Active NPI
Keyani Gevon Dedmon, PHARMD
- Pharmacist
- Washington, DC
National Provider Identifier
1215186333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18925
- Practice address
- 50 Irving St NW
Pharmacy Service 119
Washington, DC 20422-0001 - Phone
- (202) 745-8000
- NPI assigned
- Sep 12, 2008
- 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 | 18925 | MD | Primary |
Addresses
Primary practice location
50 Irving St NW
Pharmacy Service 119
Washington, DC 20422-0001
Mailing address
1814 Metzerott Rd Apt 24
Hyattsville, MD 20783-5157
Phone (214) 563-2452
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18925 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1215186333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 METZEROTT RD APT 24",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207835157",
"telephone_number": "214-563-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IRVING ST NW",
"address_2": "PHARMACY SERVICE 119",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204220001",
"telephone_number": "202-745-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDMON",
"first_name": "KEYANI",
"middle_name": "GEVON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18925",
"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 Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.