Active NPI
Simona Dereje, RPH
- Pharmacist
- Cheverly, MD
National Provider Identifier
1326552605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25435
- Practice address
- 6498 Landover Rd
Cheverly, MD 20785-1444 - Phone
- (301) 773-1074
- NPI assigned
- Nov 26, 2017
- Last updated
- Dec 4, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25435 | MD | Primary |
Addresses
Primary practice location
6498 Landover Rd
Cheverly, MD 20785-1444
Mailing address
4023 Chesterwood Dr
Silver Spring, MD 20906-2871
Phone (919) 602-7376
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1326552605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4023 CHESTERWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062871",
"telephone_number": "919-602-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6498 LANDOVER RD",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851444",
"telephone_number": "301-773-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEREJE",
"first_name": "SIMONA",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheverly, MD
- Joshlyn Davenport, CRNP
- Davmos Healthcare Services LLC
- Nathanael S Dayes, MD
- M Bonnie Demare, PA-C
- Cecilia Dennis
- Diamond Integrated Company
- Mark Stuart Dills, PA
- Dimensions Health Corporation (Gladys Spellman Specialty Hospital & Nursing Center)
- Dimensions Healthcare Associates Inc (PGHC Trauma Associates)
- Dimensions Healthcare Associates Inc (University of Maryland Capital Region Health Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.