Rudolf Achiri
Individual provider Active NPI Pharmacist · Laurel, MD
NPI 1891307161 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1891307161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 59996 (TX)
- Practice address
- 515 Main St Ste 211
Laurel, MD 20707-4117 - Phone
- (240) 302-0954
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59996 | TX | Yes |
Addresses
Primary practice location
515 Main St Ste 211
Laurel, MD 20707-4117
Mailing address
515 Main St Ste 211
Laurel, MD 20707-4117
Phone (240) 302-0954
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LAUREL | Health Information Exchange (HIE) | |
| CONNECT URL | LAUREL | Health Information Exchange (HIE) |
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.