Mena Nazer Halim Botros

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202219167 Issued in VA

Practice address

46440 Benedict Dr Ste 103
Sterling, VA 20164-6602

Phone

(571) 926-8786

NPI assigned

Dec 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• St Luke Pharmacy LLC

  • Community/Retail Pharmacy
  • Sterling, VA
  • NPI 1386420263
  NPD Authorized official
• Delta Pharm LLC

  • Community/Retail Pharmacy
  • Fairfax, VA
  • NPI 1316432669
  NPD (past)
• The Giant Company, LLC

  • Community/Retail Pharmacy
  • Charles Town, WV
  • NPI 1306878327
  NPD (past)
• The Giant Company, LLC

  • Community/Retail Pharmacy
  • Quarryville, PA
  • NPI 1952182305
  NPD (past)

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1144817065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CEDAR MOUNTAIN DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554533",
            "telephone_number": "848-234-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR STE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-926-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8316 Arlington Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220315208",
            "country_code": "US",
            "telephone_number": "571-395-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Flowing Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254143911",
            "country_code": "US",
            "telephone_number": "304-728-8705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "MENA",
        "middle_name": "NAZER HALIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-26",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0012473",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202219167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Bohnett
• Claudia Bolanos
• Rebecca Elinor Bongiovi
• Debarun Borthakur, DC
• Natasha Boswell
• Reema Ali Boufis, BDS, MDS
• Ayman Boutros, M.D.
• Ashley Camille Boyle, PT, DPT
• Jason Kane Branting
• Teri Diane Braxton-Colwell, PT

• Pharmacist in Sterling, VA
• Providers in Sterling, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.