Active NPI
Hiwot Akessa Kesi
- Ambulatory Care Pharmacist
- Ellicott City, MD
National Provider Identifier
1699499301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 24527
- Practice address
- 3300 Centennial LN
Ellicott City, MD 21042-3600 - Phone
- (410) 750-9439
- NPI assigned
- Sep 27, 2022
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 24527 | MD | Primary |
Addresses
Primary practice location
3300 Centennial LN
Ellicott City, MD 21042-3600
Mailing address
5421 Lynx LN Unit 213
Columbia, MD 21044-2496
Phone (202) 390-7158
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RXCONNECT | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 24527 | MD | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1699499301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 LYNX LN UNIT 213",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442496",
"telephone_number": "202-390-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CENTENNIAL LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423600",
"telephone_number": "410-750-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESI",
"first_name": "HIWOT",
"middle_name": "AKESSA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MD",
"license": "24527",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RXCONNECT",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3300 Centennial Ln",
"city": "Ellicott City",
"state": "MD",
"country_code": "US",
"postal_code": "210423600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.