Active NPI
Bassim Mousa
- Pharmacist
- Warrenton, VA
National Provider Identifier
1215213939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202209262
- Practice address
- 276 Lee Hwy
Warrenton, VA 20186 - Phone
- (540) 347-5917
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202209262 | VA | Primary |
Addresses
Primary practice location
276 Lee Hwy
Warrenton, VA 20186
Mailing address
6442 Katherine Ann Lane
Springfield, VA 22150
Phone (703) 362-3409
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 |
|---|---|---|---|
| 0202209262 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1215213939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6442 KATHERINE ANN LANE",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "22150",
"telephone_number": "703-362-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 LEE HWY",
"city": "WARRENTON",
"state": "VA",
"postal_code": "20186",
"telephone_number": "540-347-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSA",
"first_name": "BASSIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.