Selam Birke Eseyew

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202221688 Issued in VA

Practice address

9372 Richmond Hwy
Lorton, VA 22079-1827

Phone

(571) 642-0103

NPI assigned

Nov 8, 2023

Sex

Female

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Lorton, VA
  • NPI 1053661876
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1598539751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9372 RICHMOND HWY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791827",
            "telephone_number": "571-642-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9372 RICHMOND HWY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791827",
            "telephone_number": "571-642-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESEYEW",
        "first_name": "SELAM",
        "middle_name": "BIRKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar El-Sayed
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• Enj Diagnostics LLC
• Temitope Edomwonyi Enoma
• Tsedey Eshetu, M.D.
• Eugenia a. Walsh, DDS, PC
• Azana J Ezekiel, PTA
• Fairfax Family Practice Centers PC
• Fairfax TMS PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.