BEZAWIT SEYOUM AYENACHEW (NPI# 1477814457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477814457 |
| Entity Type | Individual |
| Full Name | BEZAWIT SEYOUM AYENACHEW |
| Practice Address |
6130 Baltimore Ave Riverdale MD 20737-1905 |
| Mailing Address |
1836 Metzerott Road Apt 527 Adelphi MD 20783 |
| Practice Telephone | 3016995004 |
| Mailing Telephone | 3018010567 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19909 | MD | Pharmacy Service Providers |
| Street Address |
6130 BALTIMORE AVE |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225553704 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6130 Baltimore Ave, Riverdale, MD 20737-1905 | 2017-08-07 |
| 1740649805 | Seulbi Lee | Pharmacist | 6130 Baltimore Ave, Riverdale, MD 20737-1905 | 2016-02-17 |
| 1003222548 | Robert Kabutey | Pharmacist | 6130 Baltimore Ave, Riverdale, MD 20737-1905 | 2014-07-04 |
| 1922410604 | Rite Aid Pharmacy | Long Term Care Hospital | 6130 Baltimore Ave, Riverdale, MD 20737-1905 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| 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 |
|---|---|---|---|---|
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1437663358 | Ayn R Phillips-piquant | Pharmacist | 6829 Collier Rd, Riverdale, GA 30296-2617 | 2017-11-30 |
| 1710431259 | Verna Brock | Pharmacist | 6324 Patterson St, Riverdale, MD 20737-2539 | 2016-08-13 |
| 1043676265 | Ihuoma Brooks | Pharmacist | 8178 Valley Blf, Riverdale, GA 30274-4373 | 2016-01-04 |
| 1790152569 | Deon Terrel Oliver Jr. | Pharmacist | 140 Little Joe Ct, Riverdale, GA 30274-3100 | 2015-08-28 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1083050181 | Edith Uche Livinus | Pharmacist | 773 Highway 138 Sw, Suite 13, Riverdale, GA 30296-1599 | 2013-05-15 |
| 1881933513 | Christophe Laguerre | Pharmacist | 1596 Adrian Dr, Riverdale, GA 30296-2002 | 2013-01-31 |
| 1548519465 | Wanda Michele White | Pharmacist | 1109 W Shore Dr, Riverdale, GA 30296-3367 | 2012-09-06 |
| Find all providers in RIVERDALE | ||||
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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.