Active NPI
Serena Medor
- Pharmacist
- Washington, DC
National Provider Identifier
1538041116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH200004852
- Practice address
- 2226 Wisconsin Ave NW
Washington, DC 20007-4102 - Phone
- (202) 944-8671
- NPI assigned
- Jul 23, 2025
- Sex
- Unspecified or another gender identity
- 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 | PH200004852 | DC | Primary |
Addresses
Primary practice location
2226 Wisconsin Ave NW
Washington, DC 20007-4102
Mailing address
8158 Washington Blvd Apt 435
Jessup, MD 20794-8801
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH200004852 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1538041116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8158 WASHINGTON BLVD APT 435",
"city": "JESSUP",
"state": "MD",
"postal_code": "207948801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200074102",
"telephone_number": "202-944-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDOR",
"first_name": "SERENA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH200004852",
"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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.