Patrick Simo Kakeu

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202216149 Issued in VA

Practice address

46965 Cedar Lake PLZ
Sterling, VA 20164-8653

Phone

(703) 430-3328

NPI assigned

Aug 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1477079671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 DAVENE LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46965 CEDAR LAKE PLZ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648653",
            "telephone_number": "703-430-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKEU",
        "first_name": "PATRICK",
        "middle_name": "SIMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202216149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Jungling, RPH
• Junzel Corporation
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Nafeeza Bobby Kaja Kamaludeen
• Haneen Kala
• Diane Minoti Kalita, PT, DPT
• Gunita Pahwa Kalra, DDS
• Sana Asif Kamal, M.D,M.B.B.S
• Basma Kamona

• Pharmacist in Sterling, VA
• Providers in Sterling, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.