Active NPI
Alula Aytenfisu, PHARMD
- Pharmacist
- Rockville, MD
National Provider Identifier
1457750820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22124
- Practice address
- 1580 Rockville Pike
Rockville, MD 20852-1602 - Phone
- (301) 881-6070
- Fax
- (301) 881-0149
- NPI assigned
- Aug 21, 2014
- 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 | 22124 | MD | Primary |
Addresses
Primary practice location
1580 Rockville Pike
Rockville, MD 20852-1602
Mailing address
1400 Somerset PL NW
Apt 205
Washington, DC 20011-1064
Phone (202) 651-1311
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22124 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1457750820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SOMERSET PL NW",
"address_2": "APT 205",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111064",
"telephone_number": "202-651-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 ROCKVILLE PIKE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521602",
"telephone_number": "301-881-6070",
"fax_number": "301-881-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYTENFISU",
"first_name": "ALULA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.