Rxclinicllc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

RXCLINICLLC

Practice address

8700 Georgia Ave Ste 403
Silver Spring, MD 20910-6600

Phone

(505) 402-7990

NPI assigned

Jun 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wasihun Berhe Nicodimos, PHARMD, BCPS, BCMTMSNPI 1437580479

Title

Clinical Pharmacist, HIV Pharmacist

Phone

(505) 402-7990

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wasihun Berhe Nicodimos, PHARMD, BCPS, BCMTMS

  • Pharmacotherapy Pharmacist
  • Bethesda, MD
  • NPI 1437580479
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1427619394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 GEORGIA AVE STE 403",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106600",
            "telephone_number": "505-402-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 GEORGIA AVE STE 403",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106600",
            "telephone_number": "505-402-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 Sheehan Ct",
            "address_purpose": "LOCATION",
            "city": "Derwood",
            "state": "MD",
            "postal_code": "208551335",
            "country_code": "US",
            "telephone_number": "505-402-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RXCLINICLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "NICODIMOS",
        "authorized_official_first_name": "WASIHUN",
        "authorized_official_middle_name": "BERHE",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST, HIV PHARMACIST",
        "authorized_official_telephone_number": "505-402-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, BCPS, BCMTMS"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Russell, PSY.D.
• Niesha Russell
• Inta A Rutins, MSW LCSW LICSW
• David Curtis Rutstein, M.D., M.P.H.
• RWS, P.C.
• Rxwellness Spine & Health - Silver Spring
• Deborah Ryan, NP
• Debra Lynn Ryan, REGISTERED PHARMACIS
• Qin C Ryan, MD, PHD
• Sheila K Ryan, PHARM.D.

• Clinic Pharmacy in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinic Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.