Individual provider Active NPI

Yabikiebra Mulugeta, PHRAM.D

  • Pharmacist
  • Arlington, VA
National Provider Identifier
1346541430
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011593 Issued in VA
Practice address
5101 Wilson Blvd
Arlington, VA 22205-1111
Phone
(703) 524-4884
NPI assigned
Nov 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202011593 VA Primary

Addresses

Primary practice location

5101 Wilson Blvd
Arlington, VA 22205-1111

Mailing address

5101 Wilson Blvd
Arlington, VA 22205-1111
Phone (703) 524-4884

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
0202011593VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1346541430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051111",
            "telephone_number": "703-524-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051111",
            "telephone_number": "703-524-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUGETA",
        "first_name": "YABIKIEBRA",
        "credential": "PHRAM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.