MENGISTU FEKEDE (NPI# 1205156882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205156882 |
Entity Type | Individual |
Full Name | MENGISTU FEKEDE |
Practice Address |
7764 Gunston Plz Lorton VA 22079-1897 |
Mailing Address |
8103 Kenova Ln Springfield VA 22153-2914 |
Practice Telephone | 7033390180 |
Mailing Telephone | 7037725745 |
Enumeration Date | 2010-06-07 |
Last Update Date | 2010-06-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 0202205686 | VA | Pharmacy Service Providers |
Street Address |
7764 GUNSTON PLZ |
City | LORTON |
State | VA |
Zip Code | 22079-1897 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154849396 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7764 Gunston Plz, Gunston Plaza Center, Lorton, VA 22079-1897 | 2017-09-08 |
1427466804 | Lauren Kondo | Pharmacist | 7764 Gunston Plz, Lorton, VA 22079-1897 | 2014-07-29 |
1871800326 | Giang T Nguyen | Pharmacist | 7764 Gunston Plz, Lorton, VA 22079-1897 | 2010-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750992558 | Shannon O'connor | Occupational Therapist | 8350 Silverbrook Rd, Lorton, VA 22079 | 2020-08-14 |
1548746688 | Kevin Maurice Gleaton | Driver | 9209 Sheffield Hunt Court, Lorton, VA 22079 | 2018-07-12 |
1750714754 | Kenneth Ashton Freeman | Internal Medicine | 8915 Rhododendron Circle, Lorton, VA 22079 | 2013-08-13 |
1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
1104176437 | Tiffany L Johnson | Occupational Therapy Assistant | 8828 Western Hemlock Way, Lorton, VA 22079 | 2012-09-13 |
1386908630 | William Hyong-sok Lee | Surgery | 8350-c Terminal Road, Newington, VA 22079 | 2012-07-02 |
1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
1720211501 | Eugenia A. Walsh, Dds, PC | Dentist | 9010 Lorton Station Blvd., Suite 150, Lorton, VA 22079 | 2009-08-27 |
Find all providers in zip 22079 |
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 |
---|---|---|---|---|
1164771754 | Carl A Balmir | Pharmacist | 9372 Richmond Hwy, Lorton, VA 22079-1827 | 2012-08-29 |
1619241809 | Mimi Gulelat | Pharmacist | 8045 Winstead Manor Ln, Lorton, VA 22079-1145 | 2012-03-06 |
1255932232 | Sima Soroosh | Pharmacist | 8941 Ox Rd, Lorton, VA 22079-3218 | 2020-11-05 |
1003417122 | Thu Trang Thi Nguyen | Pharmacist | 8941 Ox Rd, Lorton, VA 22079-3218 | 2020-11-04 |
1205447885 | Tai The Nguyen | Pharmacist | 9372 Richmond Hwy, Lorton, VA 22079-1827 | 2020-08-16 |
1356718571 | Kim Hoang | Pharmacist | 9372 Richmond Hwy, Lorton, VA 22079-1827 | 2015-08-24 |
1427466804 | Lauren Kondo | Pharmacist | 7764 Gunston Plz, Lorton, VA 22079-1897 | 2014-07-29 |
1881982601 | Gihan Seraka | Pharmacist | 8988 Lorton Station Blvd, Suite 102, Lorton, VA 22079-4756 | 2011-07-13 |
1871800326 | Giang T Nguyen | Pharmacist | 7764 Gunston Plz, Lorton, VA 22079-1897 | 2010-09-04 |
1659684769 | Jane Ann M Brereton | Pharmacist | 8941 Ox Rd, Lorton, VA 22079-3218 | 2010-07-17 |
Find all providers in LORTON |
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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.