Sejla Jukic
Individual provider Active NPI Pharmacist · Great Falls, VA
NPI 1568199065 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1568199065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202219827 (VA)
- Practice address
- 1020 Seneca Rd
Great Falls, VA 22066-1373 - Phone
- (703) 444-1570
- Fax
- (866) 207-9981
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219827 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Virginia CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202219827 | VA | Yes |
Addresses
Primary practice location
1020 Seneca Rd
Great Falls, VA 22066-1373
Mailing address
1020 Seneca Rd
Great Falls, VA 22066-1373
Phone (703) 444-1570
Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.