Active NPI
Mekonen Ambaye
- Pharmacist
- Hyattsville, MD
National Provider Identifier
1578088969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14041
- Practice address
- 7041 Martin Luther King Jr Hwy
Hyattsville, MD 20785-4016 - Phone
- (301) 386-6141
- Fax
- (301) 386-2772
- NPI assigned
- Aug 7, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | 14041 | MD | Primary |
Addresses
Primary practice location
7041 Martin Luther King Jr Hwy
Hyattsville, MD 20785-4016
Mailing address
7041 Martin Luther King Jr Hwy
Hyattsville, MD 20785-4016
Phone (301) 386-6141
Other practice location 1
2271 Bel Pre Rd
Silver Spring, MD 20906-2204
Phone (301) 598-6617
Other practice location 2
8201 Annapolis Rd
New Carrollton, MD 20784-3016
Phone (301) 577-6222
Other practice location 3
9420 Lanham Severn Rd
Lanham, MD 20706-2642
Phone (301) 577-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306944137 | Other | CVS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1578088969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7041 MARTIN LUTHER KING JR HWY",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207854016",
"telephone_number": "301-386-6141",
"fax_number": "301-386-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7041 MARTIN LUTHER KING JR HWY",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207854016",
"telephone_number": "301-386-6141",
"fax_number": "301-386-2772"
}
],
"practiceLocations": [
{
"address_1": "2271 Bel Pre Rd",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209062204",
"country_code": "US",
"telephone_number": "301-598-6617",
"fax_number": "301-460-7787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 Annapolis Rd",
"address_purpose": "LOCATION",
"city": "New Carrollton",
"state": "MD",
"postal_code": "207843016",
"country_code": "US",
"telephone_number": "301-577-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9420 Lanham Severn Rd",
"address_purpose": "LOCATION",
"city": "Lanham",
"state": "MD",
"postal_code": "207062642",
"country_code": "US",
"telephone_number": "301-577-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBAYE",
"first_name": "MEKONEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "14041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVS",
"identifier": "1306944137",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.