Soumeye Moustapha

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202221029 Issued in VA

Practice address

1517 Mount Vernon Ave
Alexandria, VA 22301-1717

Phone

(703) 838-5709

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #12359

  • Pharmacy
  • Alexandria, VA
  • NPI 1144647629
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1376258491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011717",
            "telephone_number": "703-838-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011717",
            "telephone_number": "703-838-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTAPHA",
        "first_name": "SOUMEYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Vernon Orthopaedics Assoc
• Mount Vernon Physical Therapy LC
• Mount Vernon Primary Care Associates, PLLC
• Mount Vernon Rehabilitation Medicine Associates
• Mount Vernon SNF LLC (Mt Mount Vernon Rehabilitation and Wellness Center)
• Movement and Media Studio LLC
• Moving Forward PLC
• Elizabeth Moyer
• Monique Mozee
• Mirfin Mpundu

• Pharmacist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.