Active NPI
Michael Duggan, RPH
- Pharmacist
- Ashburn, VA
National Provider Identifier
1063010296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218208
- Practice address
- 20547 Waverly CT
Ashburn, VA 20149-0001 - Phone
- (888) 636-6252
- NPI assigned
- Oct 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202218208 | VA | Primary |
Addresses
Primary practice location
20547 Waverly CT
Ashburn, VA 20149-0001
Mailing address
18533 Perdido Bay Ter
Leesburg, VA 20176-7464
Phone (703) 362-7214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202218208 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602288000000",
"number": "1063010296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18533 PERDIDO BAY TER",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201767464",
"telephone_number": "703-362-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20547 WAVERLY CT",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201490001",
"telephone_number": "888-636-6252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "MICHAEL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.