Active NPI
Diba Roozbeh
- Pharmacy Technician
- Rockville, MD
National Provider Identifier
1760072276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30145120
- Practice address
- 50 W Edmonston Dr
Rockville, MD 20852-1228 - Phone
- (240) 403-0152
- NPI assigned
- Jan 20, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30145120 | MD | Primary |
Addresses
Primary practice location
50 W Edmonston Dr
Rockville, MD 20852-1228
Mailing address
111 Amberfield LN
Gaithersburg, MD 20878-2770
Phone (240) 506-1692
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 |
|---|---|---|---|
| 30145120 | MD | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1760072276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 AMBERFIELD LN",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782770",
"telephone_number": "240-506-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W EDMONSTON DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521228",
"telephone_number": "240-403-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOZBEH",
"first_name": "DIBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "30145120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.