SAMUEL I KUTI (NPI# 1093896060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093896060 |
| Entity Type | Individual |
| Full Name | SAMUEL I KUTI |
| Practice Address |
3611 Branch Ave Temple Hills MD 20748-1242 |
| Mailing Address |
808 Darien Pl Largo MD 20774-5733 |
| Practice Telephone | 3014238070 |
| Practice Fax Number | 3014237707 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11128 | MD | Pharmacy Service Providers |
| Street Address |
3611 BRANCH AVE |
| City | TEMPLE HILLS |
| State | MD |
| Zip Code | 20748-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117617 | Michael Ntuk | Dentist | 3611 Branch Ave, 405, Temple Hills, MD 20748-1242 | 2005-10-10 |
| 1447793765 | Elizabeth Temple Roberson | Nurse Practitioner | 3611 Branch Ave, #106, Temple Hills, MD 20748-1242 | 2016-11-18 |
| 1992151021 | Complete Care Medical Care | Clinic/Center | 3611 Branch Ave, Temple Hills, MD 20748-1242 | 2016-05-07 |
| 1699166769 | Beniam Woldeselassie | Physical Therapy Assistant | 3611 Branch Ave, Suite 202, Temple Hills, MD 20748-1242 | 2015-02-11 |
| 1346477064 | Jerome M Johnson | Occupational Therapist | 3611 Branch Ave, Suite 403, Temple Hills, MD 20748-1242 | 2009-06-20 |
| 1487806360 | Christian Dental Center | Dentist | 3611 Branch Ave, Suite 301, Temple Hills, MD 20748-1242 | 2008-10-22 |
| 1225296312 | Michael E. Ntuk, Dds, Mph, PC | Dentist | 3611 Branch Ave, #405, Temple Hills, MD 20748-1242 | 2008-05-27 |
| 1174790901 | Ross Family Health and Wellness Centers, P.c | Clinic/Center | 3611 Branch Ave, Suite 403, Temple Hills, MD 20748-1242 | 2008-05-12 |
| 1326225384 | Wayne W Y Liu Md Pa | Otolaryngology | 3611 Branch Ave, Temple Hills, MD 20748-1242 | 2008-01-22 |
| 1699811901 | Karl O Pilgrim | Dentist | 3611 Branch Ave, Suite #301, Temple Hills, MD 20748-1242 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579873 | Brightway Professionals and Associates | Clinic/Center | 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 | 2020-02-12 |
| 1235783085 | Jasmine Lenee Carter | Behavior Technician | 5506 Clothier St., Temple Hills, MD 20748 | 2019-07-30 |
| 1649760075 | Livewell Family Clinic LLC | Clinic/Center | 3611 Branch Ave Ste 404, Temple Hills, MD 20748 | 2018-05-10 |
| 1346785474 | Cardinal Health Care Solution LLC | Home Health | 4905 Faith Crossin Ct, Templehills, MD 20748 | 2016-12-28 |
| 1205370095 | Crystal Hughes | Specialist | 6337 Old Branch Ave Shop 37, Camp Springs, MD 20748 | 2016-12-13 |
| 1417385444 | Ibhs LLC | Substance Abuse Rehabilitation Facility | 5000 Barnabas Road, Ct2, Temple Hills, MD 20748 | 2013-10-30 |
| 1063848703 | Oluwagbenga Jegede | Home Health Aide | 6516 Allentown Rd, Temple Hills, MD 20748 | 2013-09-25 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1215178959 | Patricia Ann Carter | Counselor | 5121 Henderson Road, Suite 101, Temple Hills, MD 20748 | 2009-03-10 |
| 1427220888 | Emerging Vision | Technician/Technologist | 3801 D Branch Ave, Iverson Mall, Temple Hills, MD 20748 | 2008-03-26 |
| Find all providers in zip 20748 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023381910 | Julia Ngubi Ndumu | Pharmacist | 7053 Allentown Rd, Temple Hills, MD 20748-5301 | 2012-02-23 |
| 1588204119 | Oluwakemi Irinyenikan | Pharmacist | 7069 Allentown Rd, Temple Hills, MD 20748-5301 | 2020-01-11 |
| 1639728561 | Amare Berhanu Tola | Pharmacist | 3714 Branch Ave, Temple Hills, MD 20748-1402 | 2019-09-04 |
| 1861049330 | Ayesha Nasir | Pharmacist | 7050 Allentown Rd, Temple Hills, MD 20748-5333 | 2019-08-20 |
| 1023664745 | Andrew Chayasriwong | Pharmacist | 3714 Branch Ave, Temple Hills, MD 20748-1402 | 2019-08-19 |
| 1720557564 | Antonio Stephen Jr. | Pharmacist | 7050 Allentown Rd, Temple Hills, MD 20748-5333 | 2018-11-22 |
| 1467867788 | Rita Andrews | Pharmacist | 3714 Branch Ave, Temple Hills, MD 20748-1402 | 2014-06-25 |
| 1457693145 | Winifred Chinyere Nwachukwu | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2013-03-21 |
| 1962744656 | Andrea Wair Davis | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2013-03-21 |
| 1225370992 | Ngoc-hoan Thi Nguyen | Pharmacist | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2013-03-20 |
| Find all providers in TEMPLE HILLS | ||||
| City | TEMPLE HILLS |
| Zip Code | 20748 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.