Reza Ghaderi

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011892 Issued in VA

Practice address

907 Lincoln Ave # 907
Falls Church, VA 22046-2512

Phone

(703) 307-2139

NPI assigned

Sep 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1386312387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LINCOLN AVE # 907",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462512",
            "telephone_number": "703-307-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 LINCOLN AVE # 907",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462512",
            "telephone_number": "703-307-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADERI",
        "first_name": "REZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0202011892",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4545",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202011892",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0202011892",
            "identifier": "4545",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "2304 Hunters Woods Plz",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201912811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2304 Hunters Woods Plz",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201912811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2304 Hunters Woods Plz",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201912811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2304 Hunters Woods Plz",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201912811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie K Geraghty, MD
• Naomi L Gerber, MD
• Timothy Robert Gerbracht, PSY.D
• Tyler Geshay, MD
• Sara Alice Geyer, NP
• Tiffany B Ghafouri, M.D.
• Sean Reza Gharai, MD
• Joshua Anthony Ghareeb, PA
• Mojgan Ghazirad, MD MHA
• Lara Ghazzawi

• Pharmacist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.