Vandorn Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VANDORN PHARMACY INC

Practice address

5724 Edsall Rd Alexandria VA 22304
Alexandria, VA 22304-4712

Phone

(202) 765-6110

Fax

(703) 348-8470

NPI assigned

Mar 30, 2020

Organization subpart

Yes

Parent organization

VANDORN PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Yodit GulelatNPI 1992257117

Title

Owner/Manager

Phone

(703) 348-7186

Specialties & licenses 2

Addresses

Other names 1

• Vandorn Apothecary LLC Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Part of

Vandorn Pharmacy Inc

Locations

Practitioners 1

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

• Yodit Gulelat

  • Pharmacist
  • Alexandria, VA
  • NPI 1992257117
  NPD Authorized official

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1174151716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 EDSALL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044712",
            "telephone_number": "202-765-6110",
            "fax_number": "703-348-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 EDSALL RD ALEXANDRIA VA 22304",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044712",
            "telephone_number": "202-765-6110",
            "fax_number": "703-348-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDORN PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANDORN PHARMACY INC",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GULELAT",
        "authorized_official_first_name": "YODIT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "703-348-7186"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vandorn Apothecary LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Van Nostrand
• Saskia Van Terheyden, MD
• Ashley Marie Van Tromp, MS, SLP
• Truong Son Van, M.D.
• Mary Vandevanter, L.C.S.W.
• Lucia Silva Vanormer, NP
• Kenneth Michael Vanstralen, D.D.S.
• Guy Weaver Vansyckle Jr., PH.D.
• Beatriz Vaz Varela
• Jay Dmitri Varela

• Community/Retail Pharmacy in Alexandria, VA
• Providers in Alexandria, 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 Nov 20, 2024; 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.