MEKONEN AMBAYE (NPI# 1578088969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578088969 |
| Entity Type | Individual |
| Full Name | MEKONEN AMBAYE |
| Practice Address |
7041 Martin Luther King Jr Hwy Hyattsville MD 20785-4016 |
| Practice Telephone | (301) 386-6141 |
| Practice Fax Number | 3013862772 |
| Mailing Telephone | (301) 386-6141 |
| Mailing Fax Number | 3013862772 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14041 | MD | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CVS | 1306944137 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2271 Bel Pre Rd, Silver Spring, MD 209062204 | 3015986617 | 3014607787 |
| 8201 Annapolis Rd, New Carrollton, MD 207843016 | 3015776222 | |
| 9420 Lanham Severn Rd, Lanham, MD 207062642 | 3015775555 |
| Street Address |
7041 MARTIN LUTHER KING JR HWY |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20785-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154738441 | Tiana Holmes | Pharmacist | 7041 Martin Luther King Jr Hwy, Hyattsville, MD 20785-4016 | 2014-07-18 |
| 1568942159 | Kharmen Patrice Gray | Pharmacist | 7041 Martin Luther King Jr Hwy, Hyattsville, MD 20785-4016 | 2018-08-14 |
| 1629522065 | Senna Almashat | Pharmacist | 7041 Martin Luther King Jr Hwy, Hyattsville, MD 20785-4016 | 2016-08-14 |
| 1649641630 | Leonor Marilin Munoz Alcivar | Pharmacist | 7041 Martin Luther King Jr Hwy, King Shopping Center, Hyattsville, MD 20785-4016 | 2015-10-15 |
| 1801205232 | Corine Nzofang | Pharmacist | 7041 Martin Luther King Jr Hwy, Hyattsville, MD 20785-4016 | 2014-08-11 |
| 1609285162 | Tasha Thomas | Pharmacist | 7041 Martin Luther King Jr Hwy, Hyattsville, MD 20785-4016 | 2014-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| 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 |
|---|---|---|---|---|
| 1689136822 | Vivian Kila Berinyuy-james | Pharmacist | 6495 New Hampshire Ave Ste B130, Hyattsville, MD 20783-3245 | 2019-04-05 |
| 1538645783 | Azuka Nwude | Pharmacist | 3350 Toledo Ter, Hyattsville, MD 20782-4105 | 2018-07-11 |
| 1508315326 | Brittney Lowe | Pharmacist | 7225 24th Pl, Hyattsville, MD 20783-2717 | 2016-09-22 |
| 1649638453 | Krista Hein | Pharmacist | 3702 East West Highway, Hyattsville, MD 20782 | 2016-02-08 |
| 1093183048 | Gobezie Tarefe | Pharmacist | 7408 Annapolis Rd, Hyattsville, MD 20784-2314 | 2015-09-08 |
| 1275918484 | Michael Edward Williams IIi | Pharmacist | 3300 E West Hwy Apt 456, Hyattsville, MD 20782-2184 | 2015-07-29 |
| 1649671074 | Hayatte Koulamallah | Pharmacist | 660 Stretford Way Apt 210, Hyattsville, MD 20785-5950 | 2014-09-04 |
| 1952710220 | Derek Fomba | Pharmacist | 7401 Annapolis Rd, Hyattsville, MD 20784-2313 | 2014-08-11 |
| 1154738441 | Tiana Holmes | Pharmacist | 7041 Martin Luther King Jr Hwy, Hyattsville, MD 20785-4016 | 2014-07-18 |
| 1093072852 | Ndunganoh G Asogo | Pharmacist | 2709 Nicholson St, Apt 203, Hyattsville, MD 20782-2811 | 2012-04-18 |
| Find all providers in HYATTSVILLE | ||||
| City | HYATTSVILLE |
| Zip Code | 20785 |
Please comment or provide details below to improve the information on MEKONEN AMBAYE.
| 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.