Said Boukercha, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202207740 Issued in VA

Practice address

7859 Heritage Dr
Annandale, VA 22003-5398

Phone

(703) 256-6100

Fax

(703) 256-8517

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1245821628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7859 HERITAGE DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035398",
            "telephone_number": "703-256-6100",
            "fax_number": "703-256-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 HERITAGE DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035398",
            "telephone_number": "703-256-6100",
            "fax_number": "703-256-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUKERCHA",
        "first_name": "SAID",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Annandale",
            "affiliation": "N",
            "endpointDescription": "CVS INTR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7859 Heritage Dr",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220035398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Annandale, VA
• Providers in Annandale, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.