Active NPI
Alemayehu B. Megersa
- Pharmacist
- Washington, DC
National Provider Identifier
1831848399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100000557
- Practice address
- 1932 Martin Luther King Jr Ave SE
Washington, DC 20020-7006 - Phone
- (202) 889-1119
- Fax
- (202) 889-1560
- NPI assigned
- Mar 22, 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 | PH100000557 | DC | Primary |
Addresses
Primary practice location
1932 Martin Luther King Jr Ave SE
Washington, DC 20020-7006
Mailing address
11703 Caplinger Rd
Silver Spring, MD 20904-2754
Phone (202) 577-6208
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH100000557 | Other | DC | PHARMACIST LICENSE |
| RX0000292 | Other | DC | PHARMACY LICENSE |
| NON | Other | NOT AVAILABLE |
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 |
|---|---|---|---|
| PH100000557 | DC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1942365382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1831848399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11703 CAPLINGER RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042754",
"telephone_number": "202-577-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207006",
"telephone_number": "202-889-1119",
"fax_number": "202-889-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGERSA",
"first_name": "ALEMAYEHU",
"middle_name": "B.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH100000557",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "RX0000292",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT AVAILABLE",
"identifier": "NON",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.