Active NPI
Tyika Bassagou, RPH
- Pharmacist
- Washington, DC
National Provider Identifier
1285270504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26943
- Practice address
- 1815 Conn Ave NW
Washington, DC 20009-5702 - Phone
- (202) 332-1718
- Fax
- (202) 332-9033
- NPI assigned
- Nov 21, 2019
- Last updated
- Nov 21, 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 | 26943 | MD | Primary |
Addresses
Primary practice location
1815 Conn Ave NW
Washington, DC 20009-5702
Mailing address
109 Croydon CT Apt 1
Silver Spring, MD 20901-4112
Phone (240) 601-3883
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26943 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1285270504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CROYDON CT APT 1",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014112",
"telephone_number": "240-601-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 CONN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200095702",
"telephone_number": "202-332-1718",
"fax_number": "202-332-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSAGOU",
"first_name": "TYIKA",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26943",
"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 Nov 21, 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.