Rudolf Achiri

Primary specialty

PharmacistTaxonomy code 183500000X

License

59996 Issued in TX

Practice address

515 Main St Ste 211
Laurel, MD 20707-4117

Phone

(240) 302-0954

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1891307161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST STE 211",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074117",
            "telephone_number": "240-302-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST STE 211",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074117",
            "telephone_number": "240-302-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHIRI",
        "first_name": "RUDOLF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAUREL",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "LAUREL",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 Fm 517 Rd W Apt 808",
            "city": "Dickinson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775394067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAUREL",
            "affiliation": "N",
            "endpointDescription": "Dickinson",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 Fm 517 Rd W Apt 808",
            "city": "Dickinson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775394067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Laurel, MD
• Providers in Laurel, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.