Active NPI
Hailu Gebremichael Weldesenbet, PHARMACIST
- Pharmacist
- Woodbridge, VA
National Provider Identifier
1508313156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202215226
- Practice address
- 2432 Battery Hill Circlee
Woodbridge, VA 22191 - Phone
- (571) 297-5086
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202215226 | VA | Primary |
Addresses
Primary practice location
2432 Battery Hill Circlee
Woodbridge, VA 22191
Mailing address
2432 Battery Hill Circlee
Woodbridge, VA 22191
Phone (571) 297-5086
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202215226 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1508313156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 BATTERY HILL CIRCLEE",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22191",
"telephone_number": "571-297-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 BATTERY HILL CIRCLEE",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22191",
"telephone_number": "571-297-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDESENBET",
"first_name": "HAILU",
"middle_name": "GEBREMICHAEL",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.