Fredericksburg City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004460 Issued in VA

Legal business name

FREDERICKSBURG CITY PHARMACY INC

Practice address

4500 Plank Rd Ste 1024
Fredericksburg, VA 22407-0120

Phone

(540) 479-1405

Fax

(540) 370-8990

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Moges Kifle Tekle, PHARM.DNPI 1093989592

Title

Ceo/ President

Phone

(703) 772-0773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moges K Tekle, VA PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fredericksburg, VA
  • NPI 1093989592
  NPD Authorized official

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1083148290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD STE 10244500",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-479-1405",
            "fax_number": "540-370-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PLANK RD STE 1024",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070120",
            "telephone_number": "540-479-1405",
            "fax_number": "540-370-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "TEKLE",
        "authorized_official_first_name": "MOGES",
        "authorized_official_middle_name": "KIFLE",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "703-772-0773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083148290",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredericksburg Area Health and Support Services
• Fredericksburg Area Health and Support Services
• Fredericksburg Area Regional Health Council
• Fredericksburg Area Regional Health Council
• Fredericksburg Christian Health Center
• Fredericksburg Dental Care
• Fredericksburg Dental Center
• Fredericksburg Dental Professionals,PLLC
• Fredericksburg Dentist and Implant Center, Inc.
• Fredericksburg Dermatologic Associates PC

• Community/Retail Pharmacy in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.