Individual provider Active NPI

Binyam Tefera, PHARM.D

  • Pharmacist
  • District Heights, MD
National Provider Identifier
1609209816
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21830 Issued in MD
Practice address
3101 Donnell Dr
Target Pharmacy
District Heights, MD 20747-3204
Phone
(301) 778-1652
NPI assigned
Aug 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21830 MD Primary

Addresses

Primary practice location

3101 Donnell Dr
Target Pharmacy
District Heights, MD 20747-3204

Mailing address

1804 Metzerott Rd
Unit 306
Adelphi, MD 20783-5115
Phone (404) 354-8084

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
21830MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1609209816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 METZEROTT RD",
            "address_2": "UNIT 306",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207835115",
            "telephone_number": "404-354-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DONNELL DR",
            "address_2": "TARGET PHARMACY",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473204",
            "telephone_number": "301-778-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFERA",
        "first_name": "BINYAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.