Active NPI
Atta Panyin Kesse, PHARM.D,MBA
- Pharmacotherapy Pharmacist
- Brunswick, MD
National Provider Identifier
1225344336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 17734
- Practice address
- 92 Souder Rd
Brunswick, MD 21716-1245 - Phone
- (301) 834-8100
- Fax
- (301) 834-4481
- NPI assigned
- Aug 26, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 17734 | MD | Primary |
Addresses
Primary practice location
92 Souder Rd
Brunswick, MD 21716-1245
Mailing address
92 Souder Rd
Brunswick, MD 21716-1245
Phone (301) 834-8100
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17734 | MD | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kind Medical Transport L.L.C. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Clarksburg, MD
- NPI 1912850454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1225344336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 SOUDER RD",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217161245",
"telephone_number": "301-834-8100",
"fax_number": "301-834-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 SOUDER RD",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217161245",
"telephone_number": "301-834-8100",
"fax_number": "301-834-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSE",
"first_name": "ATTA",
"middle_name": "PANYIN",
"credential": "PHARM.D,MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MD",
"license": "17734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.