Individual provider Active NPI

Mojdeh Hashemian, R.PH

  • Pharmacist
  • Chantilly, VA
National Provider Identifier
1174863880
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020201799 Issued in VA
Practice address
14390 Chantilly Crossing LN
Chantilly, VA 20151-2117
Phone
(703) 885-5546
Fax
(703) 885-5564
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020201799 VA Primary

Addresses

Primary practice location

14390 Chantilly Crossing LN
Chantilly, VA 20151-2117

Mailing address

14390 Chantilly Crossing LN
Chantilly, VA 20151-2117
Phone (703) 885-5546

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
020201799VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1174863880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 CHANTILLY CROSSING LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512117",
            "telephone_number": "703-885-5546",
            "fax_number": "703-885-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14390 CHANTILLY CROSSING LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512117",
            "telephone_number": "703-885-5546",
            "fax_number": "703-885-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEMIAN",
        "first_name": "MOJDEH",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "020201799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.