Active NPI
Dawn Holbrook Pyne, PHARMD, BCPS
- Pharmacist
- Woodbridge, VA
National Provider Identifier
1356720916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202209925
- Practice address
- 14139 Potomac Mills Rd
Kaiser Permanente Woodbridge Medical Center
Woodbridge, VA 22192 - Phone
- (703) 490-8400
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202209925 | VA | Primary |
| Pharmacist | 183500000X | PH100000870 | DC |
Addresses
Primary practice location
14139 Potomac Mills Rd
Kaiser Permanente Woodbridge Medical Center
Woodbridge, VA 22192
Mailing address
5635 8TH St N
Arlington, VA 22205-1019
Phone (757) 373-6898
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100000870 | DC | MD | Pharmacist |
| 0202209925 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1356720916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 8TH ST N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222051019",
"telephone_number": "757-373-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14139 POTOMAC MILLS RD",
"address_2": "KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22192",
"telephone_number": "703-490-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYNE",
"first_name": "DAWN",
"middle_name": "HOLBROOK",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209925",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.