Berthe Tatsiada Noubit, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

43809 Issued in SC

Practice address

12601 Smoketown Rd
Woodbridge, VA 22192-3379

Phone

(703) 670-7030

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Woodbridge, VA
  • NPI 1184932386
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1114616778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 BRISTOL CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931339",
            "telephone_number": "240-644-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923379",
            "telephone_number": "703-670-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUBIT",
        "first_name": "BERTHE",
        "middle_name": "TATSIADA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Hematology Oncology Associates PC
• Northern Virginia Neurology, PLLC
• Northern Virginia Physical Therapy
• Norvin'S Link LLC.
• Veronique Tayou Kamegne Noubissie
• Nova Cardiovascular Care LLC NVCC
• Nova Center for Periodontics and Dental Implants
• Nova Counseling and Psychological Services, LLC
• Nova Diabetes Prevention & Management, Inc.
• Nova Home Care Connection, LLC

• All providers in Woodbridge, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.