Individual provider Active NPI

Michael Ndula

  • Pharmacist
  • Washington, DC
National Provider Identifier
1427663822
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100002569 Issued in DC
Practice address
4635 S Capitol St SW
Washington, DC 20032-2717
Phone
(202) 561-0939
NPI assigned
Sep 11, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100002569 DC Primary

Addresses

Primary practice location

4635 S Capitol St SW
Washington, DC 20032-2717

Mailing address

4635 S Capitol St SW
Washington, DC 20032-2717
Phone (202) 561-0939

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.19546@store.walgreens.com Direct

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

LicenseStateTypeSpecialty
PH100002569DCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1427663822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 S CAPITOL ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322717",
            "telephone_number": "202-561-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 S CAPITOL ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322717",
            "telephone_number": "202-561-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDULA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100002569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.19546@store.walgreens.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4635 S Capitol St SW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200322717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 11, 2020; 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.