Individual provider Active NPI

Mahta Olfatbahar Khorsandi, PHARMD

  • Pharmacist
  • Sterling, VA
National Provider Identifier
1174431399
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0203020887 Issued in VA
Practice address
21153 Parc Dulles SQ Apt 310
Sterling, VA 20166-6626
Phone
(703) 839-0224
NPI assigned
Aug 29, 2026
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0203020887 VA Primary

Addresses

Primary practice location

21153 Parc Dulles SQ Apt 310
Sterling, VA 20166-6626

Mailing address

21153 Parc Dulles SQ Apt 310
Sterling, VA 20166-6626

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
0203020887VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1174431399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21153 PARC DULLES SQ APT 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21153 PARC DULLES SQ APT 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666626",
            "telephone_number": "703-839-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLFATBAHAR KHORSANDI",
        "first_name": "MAHTA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0203020887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; 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.