DR. KDUSE RAGASSA (NPI# 1922585082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922585082 |
| Entity Type | Individual |
| Full Name | DR. KDUSE RAGASSA |
| Other Name | DR. KDUSE RAGASSA |
| Credential | PHARM.D |
| Practice Address |
1100 Mercantile Ln Ste 135a Upper Marlboro MD 20774-5367 |
| Mailing Address |
1836 Metzerott Rd Apt 314 Adelphi MD 20783-3442 |
| Practice Telephone | 2406230400 |
| Practice Fax Number | 2406158550 |
| Mailing Telephone | 7032171530 |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2018-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
P07874 | MD | Suppliers |
| Street Address |
1100 MERCANTILE LN STE 135A |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698257 | Medventure Partners LLC | Pharmacy | 4000 Mitchellville Rd Ste 406, Bowie, MD 20716-3104 | 2020-01-09 |
| 1487154225 | The Johns Hopkins Hospital | Pharmacy | 201 N. Broadway, Suite G-1015, Baltimore, MD 21287-2128 | 2018-02-19 |
| 1952624330 | Pharmacare At Mt Claire LLC | Pharmacy | 1251 W Pratt St, Baltimore, MD 21223-2665 | 2010-03-12 |
| 1295989325 | Xpressmedcare LLC | Pharmacy | 13671 Georgia Ave, Silver Spring, MD 20906-5214 | 2008-11-17 |
| 1821203555 | Metro Treatment of Maryland, Lp | Pharmacy | 16110 Everly Rd, Hagerstown, MD 21740-2384 | 2007-05-14 |
| 1942368162 | State of Maryland | Pharmacy | Campus Dr Bldg 140, University of Maryland, College Park, MD 20742-0001 | 2006-12-04 |
| 1689774648 | Peoples Community Health Centers | Pharmacy | 3013 Greenmount Ave, Baltimore, MD 21218-3939 | 2006-09-22 |
| 1417560962 | Crowns Pharmacy LLC | Pharmacy | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2020-08-25 |
| 1679103469 | Kleins of Aberdeen Inc | Pharmacy | 949 Beards Hill Rd, Aberdeen, MD 21001-1734 | 2020-01-21 |
| 1306476106 | Shoprite of Liberty Heights, LLC | Pharmacy | 4601 Liberty Heights Ave, Baltimore, MD 21207-7553 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on DR. KDUSE RAGASSA.
| 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.