Active NPI
Izunwanne Kingsley Kagha
- Pharmacist
- Manassas, VA
National Provider Identifier
1255935524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202210987
- Practice address
- 8041 Sudley Rd
Manassas, VA 20109-8001 - Phone
- (703) 368-9246
- NPI assigned
- Nov 26, 2020
- Last updated
- Nov 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 0202210987 | VA | Primary |
Addresses
Primary practice location
8041 Sudley Rd
Manassas, VA 20109-8001
Mailing address
8041 Sudley Rd
Manassas, VA 20109-8001
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 |
|---|---|---|---|
| 0202210987 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606348800000",
"number": "1255935524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8041 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8041 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098001",
"telephone_number": "703-368-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGHA",
"first_name": "IZUNWANNE",
"middle_name": "KINGSLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-26",
"last_updated": "2020-11-26",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
- June L. Toth, Inc. (Connections Counseling Associates)
- Juniper Adult Health Center Inc
- Just Relax LLC
- Dale Kabundji, BT
- Chelsea Kidd Kadak
- Ritika Kailey, DMD
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Manassas Medical Center)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Manassas Medical Center Laboratory)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Manassas Medical Center Pharmacy)
- Karen Roxanne Kaiser, PHD LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.