Jasmin Mahoney, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202207643 Issued in VA

Practice address

1122 N Johnson St
Arlington, VA 22201-5076

Phone

(571) 235-1492

NPI assigned

Dec 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jasmin Dailisan Former name

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1578273256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N JOHNSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N JOHNSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015076",
            "telephone_number": "571-235-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JASMIN",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMIN",
            "last_name": "DAILISAN",
            "credential": "PHARMACIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcelle Maginnis
• Kylen Mahaney, LCSW, CSAC
• Natalie Maharaj
• Sondos Mahmoud
• Erin Amanda Mahoney, DDS
• Kristen Mahoney, LPC
• Mai T Phan, DDS
• Jean-Baptiste Robert Maitre, MD
• Dhurata Majko
• Mary Jane Major, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.