Asfawosen Bekele

Key facts

NPI

1467052985

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

0202208969 (VA)

Practice address

197 Madison Heights SQ
Madison Heights, VA 24572-6243

Phone

(434) 846-2670

NPI assigned

Oct 26, 2020

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 26, 2020.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1467052985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 MADISON HEIGHTS SQ",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245726243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 MADISON HEIGHTS SQ",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245726243",
            "telephone_number": "434-846-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKELE",
        "first_name": "ASFAWOSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, VA

• Alston Transportation
• Ainsley Axtell
• Balraj Bawa, M.D.
• Jonathan Behler, LPC, LMHC, PHD, MA
• Christine Marie Black
• John Blankenship, RN
• Genevieve Renee Bray, RESIDENT IN COUNSELI
• Ashanti Brown
• Priscilla A Bullen, FNP

All providers in Madison Heights, VA · Pharmacist in Virginia