NPI 1285270504 · live from the CMS NPI Registry
Tyika Bassagou, RPh
Pharmacist in Washington, DC. National Provider Identifier 1285270504, active.
NPI record
| NPI | 1285270504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1815 Conn Ave Nw, Washington, DC 20009 |
| Practice phone | 202-332-1718 |
| Mailing address | 109 Croydon Ct Apt 1, Silver Spring, MD 20901 |
| Enumerated | November 21, 2019 |
| Last updated | November 21, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 26943 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.