Active NPI
Kebede Asfaw
- Pharmacy
- Alexandria, VA
National Provider Identifier
1346088903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 0202222125
- Practice address
- 1680 Duke St
Alexandria, VA 22314-3474 - Phone
- (703) 706-5783
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0202222125 | VA | Primary |
Addresses
Primary practice location
1680 Duke St
Alexandria, VA 22314-3474
Mailing address
5805 Royal Ridge Dr Unit L
Springfield, VA 22152-1021
Phone (571) 315-2770
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 |
|---|---|---|---|
| 0202222125 | VA | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Pharmacy | Past | Accepting new patients |
| Virginia CVS Pharmacy, L.L.C. | Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1346088903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 ROYAL RIDGE DR UNIT L",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521021",
"telephone_number": "571-315-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143474",
"telephone_number": "703-706-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASFAW",
"first_name": "KEBEDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "VA",
"license": "0202222125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.