Active NPI
Bethel G Desta, PHARMD
- Pharmacist
- Dumfries, VA
National Provider Identifier
1467839092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202208257
- Practice address
- 17425 Denali PL
Dumfries, VA 22025-1967 - Phone
- (703) 225-8655
- NPI assigned
- May 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202208257 | VA | Primary |
Addresses
Primary practice location
17425 Denali PL
Dumfries, VA 22025-1967
Mailing address
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Phone (703) 441-7500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202208257 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1467839092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252050",
"telephone_number": "703-441-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17425 DENALI PL",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251967",
"telephone_number": "703-225-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTA",
"first_name": "BETHEL",
"middle_name": "G",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
- Dylan Drue Deardorff, M.D.
- Del Professional Healthcare, LLC
- Beth Lyn Dennis, MD
- Robert Wright Dennis, PHYSICAL THERAPIST
- Dentists of Dumfries
- Dewitt Army Community Hospital
- Dignity & Grace Transportation Service LLC
- Dignity Always LLC
- Dimensions Transportation, LLC.
- Divine Global Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.