Individual provider Active NPI

Grace Beshara Handal, PHARMD

  • Pharmacist
  • Fairfax, VA
National Provider Identifier
1245752393
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202208258 Issued in VA
Practice address
4320 Cannon Ridge CT Unit 2
Fairfax, VA 22033-6010
Phone
(571) 213-3611
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202208258 VA Primary

Addresses

Primary practice location

4320 Cannon Ridge CT Unit 2
Fairfax, VA 22033-6010

Mailing address

4320 Cannon Ridge CT Unit 2
Fairfax, VA 22033-6010
Phone (571) 213-3611

Other identifiers 1

IdentifierTypeStateIssuer
0202208258OtherVAPHARMACY LICENSE

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
0202208258VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245752393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 CANNON RIDGE CT UNIT 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336010",
            "telephone_number": "571-213-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 CANNON RIDGE CT UNIT 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336010",
            "telephone_number": "571-213-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDAL",
        "first_name": "GRACE",
        "middle_name": "BESHARA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "0202208258",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

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