Active NPI
Letebrhan Yohannes
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1396140984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15110
- Practice address
- 2321 University Blvd W
Silver Spring, MD 20902-4507 - Phone
- (301) 942-4009
- NPI assigned
- Oct 26, 2014
- 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 | 15110 | MD | Primary |
Addresses
Primary practice location
2321 University Blvd W
Silver Spring, MD 20902-4507
Mailing address
730 Sonata Way
Silver Spring, MD 20901-5063
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 |
|---|---|---|---|
| 15110 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414281600000",
"number": "1396140984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 SONATA WAY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209015063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024507",
"telephone_number": "301-942-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOHANNES",
"first_name": "LETEBRHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-26",
"last_updated": "2014-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.