Individual provider Active NPI

Rosa E Ephrem, PHARMD

  • Geriatric Pharmacist
  • Gaithersburg, MD
National Provider Identifier
1508050998
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
9102586 Issued in MD
Practice address
618 Center Point Way Unit 83383
Gaithersburg, MD 20883-7516
Phone
(301) 963-3798
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17795 MD
Geriatric Pharmacist 1835G0303X 9102586 MD Primary

Addresses

Primary practice location

618 Center Point Way Unit 83383
Gaithersburg, MD 20883-7516

Mailing address

618 Center Point Way Unit 83383
Gaithersburg, MD 20883-7516
Phone (301) 963-3798

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

LicenseStateTypeSpecialty
17795MDMDPharmacist
9102586MDMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1508050998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 CENTER POINT WAY UNIT 83383",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208837516",
            "telephone_number": "301-963-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 CENTER POINT WAY UNIT 83383",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208837516",
            "telephone_number": "301-963-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPHREM",
        "first_name": "ROSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17795",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MD",
            "license": "9102586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.