Active NPI
Solomon Tesfatsion, R. PH
- Pharmacist
- Laurel, MD
National Provider Identifier
1952928442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14307
- Practice address
- 7350 Van Dusen Rd # 101
Laurel, MD 20707-5263 - Phone
- (301) 604-8500
- NPI assigned
- Jun 30, 2020
- Last updated
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14307 | MD | Primary |
Addresses
Primary practice location
7350 Van Dusen Rd # 101
Laurel, MD 20707-5263
Mailing address
8554 Eastern Morning Run
Laurel, MD 20723-5863
Phone (240) 645-6165
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14307 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1952928442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8554 EASTERN MORNING RUN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207235863",
"telephone_number": "240-645-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 VAN DUSEN RD # 101",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075263",
"telephone_number": "301-604-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESFATSION",
"first_name": "SOLOMON",
"credential": "R. PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "14307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.