Individual provider Active NPI

Chenling Ni

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Manassas, VA
National Provider Identifier
1467056978
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
020221899 Issued in VA
Practice address
9900 Sowder Village SQ
Manassas, VA 20109-5464
Phone
(703) 257-6970
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH100004065 DC
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 43134 TN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 021366 KY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 020221899 VA Primary

Addresses

Primary practice location

9900 Sowder Village SQ
Manassas, VA 20109-5464

Mailing address

9900 Sowder Village SQ
Manassas, VA 20109-5464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rx17389@cvshealth.com

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

State licenses

LicenseStateTypeSpecialty
PH100004065DCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
021366KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
43134TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
020221899VAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Interoperability endpoints

  • Direct secure messaging: rx17389@cvshealth.com

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1467056978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SOWDER VILLAGE SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SOWDER VILLAGE SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095464",
            "telephone_number": "703-257-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "CHENLING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "DC",
            "license": "PH100004065",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "43134",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "021366",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "020221899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rx17389@cvshealth.com",
            "affiliation": "N",
            "address_1": "9900 Sowder Village Sq",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201095464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.