Individual provider Active NPI

Connie Shieh Riengnimit

  • Pharmacist
  • Falls Church, VA
National Provider Identifier
1306123393
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202210241 Issued in VA
Practice address
5515 Leesburg Pike
T-1893
Falls Church, VA 22041-3109
Phone
(703) 253-0022
Fax
(703) 253-0022
NPI assigned
Nov 4, 2011
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210241 VA Primary
Pharmacist 183500000X PH100001029 DC

Addresses

Primary practice location

5515 Leesburg Pike
T-1893
Falls Church, VA 22041-3109

Mailing address

5515 Leesburg Pike
T-1893
Falls Church, VA 22041-3109
Phone (703) 253-0022

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

LicenseStateTypeSpecialty
PH100001029DCMDPharmacist
0202210241VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1306123393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 LEESBURG PIKE",
            "address_2": "T-1893",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413109",
            "telephone_number": "703-253-0022",
            "fax_number": "703-253-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 LEESBURG PIKE",
            "address_2": "T-1893",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413109",
            "telephone_number": "703-253-0022",
            "fax_number": "703-253-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENGNIMIT",
        "first_name": "CONNIE",
        "middle_name": "SHIEH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210241",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.