Individual provider Active NPI

Filmon Ghebreghiorghis

  • Pharmacist
  • Waldorf, MD
National Provider Identifier
1942500459
Registry record updated Oct 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19331 Issued in MD
Practice address
10 King St
Waldorf, MD 20602-1839
Phone
(301) 645-5161
NPI assigned
Oct 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19331 MD Primary

Addresses

Primary practice location

10 King St
Waldorf, MD 20602-1839

Mailing address

6610 Seward Rd
Bowie, MD 20720-3363

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

LicenseStateTypeSpecialty
19331MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288483200000",
    "number": "1942500459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 SEWARD RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KING ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021839",
            "telephone_number": "301-645-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEBREGHIORGHIS",
        "first_name": "FILMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-31",
        "last_updated": "2010-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2010; 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.