Individual provider Active NPI

Liyuwork G Adane, PHARMD

  • Pharmacist
  • Oxon Hill, MD
National Provider Identifier
1841935368
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28460 Issued in MD
Practice address
6221 Oxon Hill Rd
Oxon Hill, MD 20745-3010
Phone
(301) 839-0667
NPI assigned
Apr 29, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28460 MD Primary

Addresses

Primary practice location

6221 Oxon Hill Rd
Oxon Hill, MD 20745-3010

Mailing address

8719 Kodiak Dr
Silver Spring, MD 20903-3500
Phone (240) 938-8522

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
28460MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland CVS Pharmacy LLC PastSince May 1, 2022 Accepting new patients
Maryland CVS Pharmacy, L.L.C. PastSince May 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1841935368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8719 KODIAK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209033500",
            "telephone_number": "240-938-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453010",
            "telephone_number": "301-839-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADANE",
        "first_name": "LIYUWORK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.