Active NPI
Amsale Legesse, RPH
- Pharmacist
- Washington, DC
National Provider Identifier
1528368339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH2983
- Practice address
- 1100 4TH St SW
Washington, DC 20024-4451 - Phone
- (202) 719-2500
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
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 | PH2983 | DC | Primary |
Addresses
Primary practice location
1100 4TH St SW
Washington, DC 20024-4451
Mailing address
11315 King George Dr
Wheaton, MD 20902-4445
Phone (301) 949-2202
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH2983 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1528368339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11315 KING GEORGE DR",
"city": "WHEATON",
"state": "MD",
"postal_code": "209024445",
"telephone_number": "301-949-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 4TH ST SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200244451",
"telephone_number": "202-719-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGESSE",
"first_name": "AMSALE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH2983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.