Kduse Ragassa, PHARM.D

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

P07874 Issued in MD

Practice address

1100 Mercantile LN Ste 135a
Upper Marlboro, MD 20774-5367

Phone

(240) 623-0400

Fax

(240) 615-8550

NPI assigned

Jul 22, 2018

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

Other names 1

• Dr. Kduse Ragassa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1922585082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 METZEROTT RD APT 314",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207833442",
            "telephone_number": "703-217-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MERCANTILE LN STE 135A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745367",
            "telephone_number": "240-623-0400",
            "fax_number": "240-615-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGASSA",
        "first_name": "KDUSE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MD",
            "license": "P07874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KDUSE",
            "last_name": "RAGASSA",
            "prefix": "DR.",
            "credential": "PHARM.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinic Pharmacy in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinic Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.