Priscilla Agbale, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202220054 Issued in VA

Practice address

16712 Jefferson Davis Hwy
Dumfries, VA 22026-2115

Phone

(703) 221-7467

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2022.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1225751563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 ROOSEVELT BLVD APT A101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 JEFFERSON DAVIS HWY",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262115",
            "telephone_number": "703-221-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBALE",
        "first_name": "PRISCILLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202220054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Eyecare Consultants
• Advanced Home Care Services LLC
• Advanced Medical Transportation LLC
• Tenbit Afework, PA
• Afrie Logistics LLC
• Kristen Aguilar, BCBA
• Tracy Agyeman-Badu, PHARM.D
• Elizabeth Ansel Zizer Ahonkhai, CSW
• John David Alachnowicz, DDS
• Alexander T Augusta Med Ctr-Ft Belvoir

• All providers in Dumfries, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.