Active NPI
Farhana Sultana
- Pharmacist
- Manassas, VA
National Provider Identifier
1194447979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202220739
- Practice address
- 6400 Hoadly Rd
Manassas, VA 20112-3436 - Phone
- (703) 259-6390
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202220739 | VA | Primary |
Addresses
Primary practice location
6400 Hoadly Rd
Manassas, VA 20112-3436
Mailing address
6400 Hoadly Rd
Manassas, VA 20112-3436
Phone (703) 259-6390
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202220739 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6400 Hoadly Rd
Manassas, VA 20112
Phone (703) 259-6390
Organizations & group practices 2
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.
-
- Pharmacy
- Manassas, VA
- NPI 1134451818
-
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- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1194447979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 HOADLY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123436",
"telephone_number": "703-259-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 HOADLY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123436",
"telephone_number": "703-259-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTANA",
"first_name": "FARHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.