DR. GEZEHAGNE BAHIRU (NPI# 1508116682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508116682 |
| Entity Type | Individual |
| Full Name | DR. GEZEHAGNE BAHIRU |
| Credential | PHARMD |
| Practice Address |
10580 Arrowhead Drive Fairfax Health Center Fairfax VA 22030 |
| Practice Telephone | 5714322680 |
| Practice Fax Number | 5714322795 |
| Mailing Telephone | 5714322680 |
| Mailing Fax Number | 5714322795 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202205762 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PHARMACIST LICENSE NUMBER | 0202205762 | 01 |
| Street Address |
10580 ARROWHEAD DRIVE FAIRFAX HEALTH CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417509 | Nghi V Nguyen | Family Medicine | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2005-06-20 |
| 1962754309 | Daoud H. Abulhawa | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-09 |
| 1750633616 | Henry Hung Tran | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-02 |
| 1669723672 | Behnaz Daghigh | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-01 |
| 1194076141 | Stanislav Myaskovsky | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-29 |
| 1639420680 | Paul Chinnaraj | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-29 |
| 1306196324 | Hoa N. Tran | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-17 |
| 1215287578 | Chau Bao Dinh | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-14 |
| 1700133907 | Anne Marie Marie Neary | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-08-07 |
| 1134476518 | Hoai Nguyen | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598044042 | Oladapo Michael Onijala | Pharmacist | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2011-08-15 |
| 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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| 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.