Active NPI
Majed Benjelloun, PHARMACY MANAGER
- Pharmacist
- Locust Grove, VA
National Provider Identifier
1245834654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207243
- Practice address
- 36115 Goodwin Dr
Locust Grove, VA 22508-2029 - Phone
- (202) 306-4443
- NPI assigned
- Nov 25, 2020
- Last updated
- Nov 25, 2020
- 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 | 0202207243 | VA | Primary |
Addresses
Primary practice location
36115 Goodwin Dr
Locust Grove, VA 22508-2029
Mailing address
400 Cameron Station Blvd Apt 430
Alexandria, VA 22304-8232
Phone (202) 306-4443
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 |
|---|---|---|---|
| 0202207243 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1245834654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CAMERON STATION BLVD APT 430",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223048232",
"telephone_number": "202-306-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36115 GOODWIN DR",
"city": "LOCUST GROVE",
"state": "VA",
"postal_code": "225082029",
"telephone_number": "202-306-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJELLOUN",
"first_name": "MAJED",
"credential": "PHARMACY MANAGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Locust Grove, VA
- Mohit Anand, MD
- Theresa Marie Anderson, CNA
- Steven Allen Atkinson, LMFT
- Jami Akin Barnett, PHARM. DA
- Sara Virginia Begelton, DIRECTOR
- Christina Berben, DPT
- Rastriyata Bhandari, FNP
- Bio-Medical Applications of Virginia, Inc. (Fresenius Medical Care Lake of the Woods)
- Susan E. Black Sr., MS,CCC-SLP
- Body Soul Well
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.