Active NPI
Ivy A Kwapong, PHARMD
- Pharmacist
- McLean, VA
National Provider Identifier
1356744361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202212426
- Practice address
- 1680 Capital One Dr Ste 100RX
MC Lean, VA 22102-3407 - Phone
- (571) 581-3147
- NPI assigned
- Oct 4, 2014
- Last updated
- Dec 23, 2022
- Sex
- Female
- 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 | 0202212426 | VA | Primary |
Addresses
Primary practice location
1680 Capital One Dr Ste 100RX
MC Lean, VA 22102-3407
Mailing address
1680 Capital One Dr Ste 100RX
MC Lean, VA 22102-3407
Phone (571) 581-3147
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.21367@store.walgreens.com |
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 |
|---|---|---|---|
| 0202212426 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1680 Capital One Dr
Ste 100RX
McLean, VA 22102
Phone (571) 581-3147
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": "1412380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1356744361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 CAPITAL ONE DR STE 100RX",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023407",
"telephone_number": "571-581-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 CAPITAL ONE DR STE 100RX",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023407",
"telephone_number": "571-581-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAPONG",
"first_name": "IVY",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-04",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212426",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.21367@store.walgreens.com",
"affiliation": "N",
"address_1": "1680 Capital One Dr Ste 100Rx",
"city": "Mc Lean",
"state": "VA",
"country_code": "US",
"postal_code": "221023407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.