MR. MOGES K TEKLE


Address: 2567 Cowan Blvd, Fredericksburg, VA 22401-8440
Phone: 5404791405

MR. MOGES K TEKLE (NPI# 1093989592) 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) 1093989592
Entity Type Individual
Full Name MR. MOGES K TEKLE
Credential VA PHARM.D
Practice Address 2567 Cowan Blvd
Fredericksburg
VA 22401-8440
Practice Telephone 5404791405
Practice Fax Number 5403708990
Mailing Telephone 5404791405
Enumeration Date 2008-04-15
Last Update Date 2019-04-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202206386 VA Pharmacy Service Providers

Office Location

Street Address 2567 COWAN BLVD
City FREDERICKSBURG
State VA
Zip Code 22401-8440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083148290 Fredericksburg City Pharmacy Inc Pharmacy 2567 Cowan Blvd, Fredericksburg, VA 22401-8440 2017-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780970723 Jeanie Lynn Sadler Pharmacist 4108 Longwood Drive, Fredericksburg, VA 22408 2011-06-28
1861030637 Amalea Suzette Gray Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-12
1194363929 Lori Beth Feldman Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-11
1558738807 Leslie Kolbig Pharmacist 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2015-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295363984 Vandorn Apothecary Pharmacist 5724 Edsall Rd, Alexandria, VA 22304-4712 2020-03-30
1285261701 Kimberly Varney Pharmacist 401 N 12th St Dept Of, Richmond, VA 23298-5035 2020-03-25
1124651641 Wintana T Tekleab Pharmacist 1201 S Eads St Apt 314, Arlington, VA 22202-2837 2020-02-13
1114557519 Phillip Ryan Gray Pharmacist 2821 Hicks Road, North Chesterfield, VA 23235-0000 2020-01-24
1447880109 Sara Hudson Pharmacist 2821 Hicks Rd, North Chesterfield, VA 23235 2020-01-22
1053951301 Christina Debra O'neal Pharmacist 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 2020-01-14
1609413376 Laurie Ferguson Mauthe Pharmacist 5801 Pollard Dr, Richmond, VA 23226-1830 2019-12-02
1386124303 Thomas W Taylor Pharmacist 240 Mclaws Circle, Suite 147, Williamsburg, VA 23185-2318 2018-08-20
1659886539 Oscar Macapobre Pharmacist 1620 Cedar Rd Ste 100, Chesapeake, VA 23322-7197 2017-12-13
1598139040 Tina Kathryn Brockman Pharmacist 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 2015-11-20
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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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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