Berhane Habte Wold

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011650 Issued in VA

Practice address

13043 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2001

Phone

(703) 968-9293

Fax

(703) 817-1409

NPI assigned

Nov 9, 2020

Sex

Female

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Fairfax, VA
  • NPI 1194758441
  NPD (past)
• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Parkville, MD
  • NPI 1639938020
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1386246932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13043 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332001",
            "telephone_number": "703-968-9293",
            "fax_number": "703-817-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13043 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332001",
            "telephone_number": "703-968-9293",
            "fax_number": "703-817-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "BERHANE",
        "middle_name": "HABTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Withers, LPC, LCPC
• Astrid Witherspoon
• Dana Krasnow Wittmann
• Felasfa Mulugeta Wodajo, MD
• Sarah Elizabeth Woessner, MD
• Kathy Eileen Wolf, MD
• Alexandra L Wolfe
• Bridget Colleen Wolfe, CRNA
• Pierre P Wolfe, M.D.
• Madeline R Wolfert, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.