Individual provider Active NPI

Ashton Lee Booth Spencer, PHARMD

  • Pharmacist
  • Reston, VA
National Provider Identifier
1073043543
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202212603 Issued in VA
Practice address
12197 Sunset Hills Rd
Reston, VA 20190-3208
Phone
(703) 478-9698
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202212603 VA Primary
Pharmacist 183500000X R2766 NH

Addresses

Primary practice location

12197 Sunset Hills Rd
Reston, VA 20190-3208

Mailing address

12197 Sunset Hills Rd
Reston, VA 20190-3208
Phone (703) 478-9698

Other practice location 1

3 Freetown Rd
Raymond, NH 03077-2394
Phone (603) 895-0657

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202212603VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Hampshire Inc Past Accepting new patients
Rite Aid of New Hampshire Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1073043543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12197 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903208",
            "telephone_number": "703-478-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12197 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903208",
            "telephone_number": "703-478-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Freetown Rd",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "NH",
            "postal_code": "030772394",
            "country_code": "US",
            "telephone_number": "603-895-0657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ASHTON",
        "middle_name": "LEE BOOTH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212603",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.