SAM KHOSRAVIANI (NPI# 1144833351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 27414 | MD | Pharmacy Service Providers |
Street Address |
6525 BELCREST RD |
City | HYATTSVILLE |
State | MD |
Zip Code | 20782-2003 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 20782 |
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 | 20782 |
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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.