Individual provider Active NPI

Rachel Mary Wolovich, PHARMD

  • Pharmacist
  • Herndon, VA
National Provider Identifier
1124619408
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202211312 Issued in VA
Practice address
412 Elden St
Herndon, VA 20170-4511
Phone
(703) 215-8000
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439397 PA
Pharmacist 183500000X 0202211312 VA Primary

Addresses

Primary practice location

412 Elden St
Herndon, VA 20170-4511

Mailing address

412 Elden St
Herndon, VA 20170-4511
Phone (703) 215-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mydrsrx@hush.com Direct

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
RP439397PAMDPharmacist
0202211312VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
My Dr'S Pharmacy PastSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1124619408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704511",
            "telephone_number": "703-215-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704511",
            "telephone_number": "703-215-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOVICH",
        "first_name": "RACHEL",
        "middle_name": "MARY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439397",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mydrsrx@hush.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hushmail",
            "address_1": "412 Elden St",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201704511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.