Individual provider Active NPI

Tsedale A Tarekegne, PHARM D

  • Pharmacist
  • Alexandria, VA
National Provider Identifier
1447577358
Registry record updated May 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207666 Issued in VA
Practice address
4515 Duke St
Alexandria, VA 22304-2503
Phone
(703) 751-4900
Fax
(703) 751-2906
NPI assigned
May 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202207666 VA Primary

Addresses

Primary practice location

4515 Duke St
Alexandria, VA 22304-2503

Mailing address

6166 Leesburg Pike Apt D412
Falls Church, VA 22044-2391

Other identifiers 1

IdentifierTypeStateIssuer
1285743583OtherVAPHARMACY NPI

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

LicenseStateTypeSpecialty
0202207666VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272672000000",
    "number": "1447577358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 LEESBURG PIKE APT D412",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042503",
            "telephone_number": "703-751-4900",
            "fax_number": "703-751-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAREKEGNE",
        "first_name": "TSEDALE",
        "middle_name": "A",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-01",
        "last_updated": "2010-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NPI",
            "identifier": "1285743583",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2010; 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.