Active NPI
Melody Fakhrzadeh
- Pharmacist
- Washington, DC
National Provider Identifier
1255118840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100004131
- Practice address
- 1255 25TH St NW Apt 908
Washington, DC 20037-4115 - Phone
- (908) 331-1471
- NPI assigned
- Sep 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28157 | MD | |
| Pharmacist | 183500000X | PH100004131 | DC | Primary |
Addresses
Primary practice location
1255 25TH St NW Apt 908
Washington, DC 20037-4115
Mailing address
1255 25TH St NW Apt 908
Washington, DC 20037-4115
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 |
|---|---|---|---|
| PH100004131 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1255118840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 25TH ST NW APT 908",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200374115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 25TH ST NW APT 908",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200374115",
"telephone_number": "908-331-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHRZADEH",
"first_name": "MELODY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28157",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100004131",
"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 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.