Healthcare Provider Details

I. General information

NPI: 1699601765
Provider Name (Legal Business Name): DAWIT SAFOYE ADDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CARROLL ST NW
WASHINGTON DC
20012-2001
US

IV. Provider business mailing address

2301 GLENALLAN AVE APT 208
SILVER SPRING MD
20906-3527
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-7593
  • Fax:
Mailing address:
  • Phone: 202-716-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100001049
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: