Active NPI
Richard Gana Nubila, PHARM D
- Pharmacist
- McLean, VA
National Provider Identifier
1578820981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202211213
- Practice address
- 6224 Old Dominion Dr
McLean, VA 22101-4217 - Phone
- (703) 538-6600
- NPI assigned
- Apr 23, 2012
- Last updated
- Dec 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20463 | MD | |
| Pharmacist | 183500000X | 0202211213 | VA | Primary |
| Pharmacist | 183500000X | PH100001341 | DC |
Addresses
Primary practice location
6224 Old Dominion Dr
McLean, VA 22101-4217
Mailing address
11331 Columbia Pike
Apt C8
Silver Spring, MD 20904
Phone (301) 681-7342
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 |
|---|---|---|---|
| 20463 | MD | MD | Social Worker |
| PH100001341 | DC | MD | Pharmacist |
| 0202211213 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1578820981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11331 COLUMBIA PIKE",
"address_2": "APT C8",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-681-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6224 OLD DOMINION DR",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221014217",
"telephone_number": "703-538-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUBILA",
"first_name": "RICHARD",
"middle_name": "GANA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20463",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211213",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100001341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.