Individual provider Active NPI

Hiwot Akessa Kesi

  • Ambulatory Care Pharmacist
  • Ellicott City, MD
National Provider Identifier
1699499301
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
24527 Issued in MD
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

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
24527MDMDAmbulatory 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.

Verify at the official NPI Registry.