SAM KHOSRAVIANI


Address: 6525 Belcrest Rd, Hyattsville, MD 20782-2003
Phone: 3012096688

SAM KHOSRAVIANI (NPI# 1144833351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144833351
Entity Type Individual
Full Name SAM KHOSRAVIANI
Practice Address 6525 Belcrest Rd
Hyattsville
MD 20782-2003
Mailing Address 304 Edmonston Dr
Rockville
MD 20851-1305
Practice Telephone 3012096688
Enumeration Date 2020-08-26
Last Update Date 2020-08-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 27414 MD Pharmacy Service Providers

Office Location

Street Address 6525 BELCREST RD
City HYATTSVILLE
State MD
Zip Code 20782-2003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568436947 Norman Shedlo Optometrist 6525 Belcrest Rd, Suite 200, Hyattsville, MD 20782-2003 2006-02-14
1306325709 Brittany Amara Carroll Pharmacist 6525 Belcrest Rd, Hyattsville, MD 20782-2003 2018-08-07
1215449418 Elan Ousley Counselor 6525 Belcrest Rd, Hyattsville, MD 20782-2003 2017-10-27
1720526940 Contemporary Family Services, Inc Community/Behavioral Health 6525 Belcrest Rd, Suite G40, Hyattsville, MD 20782-2003 2017-02-08
1790220366 Contemporary Family Services, Inc. Day Training, Developmentally Disabled Services 6525 Belcrest Rd, Suite G40, Hyattsville, MD 20782-2003 2017-01-05
1487198982 Contemporary Family Services, Inc. Skilled Nursing Facility 6525 Belcrest Rd, Suit G40, Hyattsville, MD 20782-2003 2016-12-19
1932656402 Azizza Davis Pharmacist 6525 Belcrest Rd, Hyattsville, MD 20782-2003 2016-09-01
1518317833 Temitope Awofeso Pharmacist 6525 Belcrest Rd, Hyattsville, MD 20782-2003 2016-06-17
1447617378 Carla Darling Pharmacist 6525 Belcrest Rd, Hyattsville, MD 20782-2003 2016-01-22
1033597679 Jennifer Yee Prendez Family Medicine 6525 Belcrest Rd, Hyattsville, MD 20782-2003 2015-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712254 Covenant Cosmetic & Wellness Center Clinic/Center 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 2020-08-26
1174146807 Scort Achah Home Health Aide 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 2020-05-28
1679130215 Kla Vision, P.C. Optometrist 3500 East-west Highway, Hyattsville, MD 20782 2019-05-20
1417431677 Visurraga Enterprises LLC Nurse Anesthetist, Certified Registered 4112 E West Hwy, Hyattsville, MD 20782 2018-09-24
1134605876 Melinda Merricks Behavioral Analyst 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 2018-07-16
1457849093 Prince George's County Health Department Clinic/Center 7000 Adelphi Road, Hyattsville, MD 20782 2018-04-30
1922527134 Amenan Marie Paule Yao Home Health Aide 7009 Highview Ter Apt 202, Hyattsville, MD 20782 2017-09-19
1558886358 Emilia Domingez De Urena Home Health Aide 6700 Belcrest Road, Hyattsville, MD 20782 2017-08-14
1184176851 Prince George's Hospital Center Student in an Organized Health Care Education/Training Program 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 2016-10-28
1992257927 Johanna Arias-bonilla Social Worker 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 2016-10-25
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City HYATTSVILLE
Zip Code 20782

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Dataset Information

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.

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