Mathias L Kebede

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202221369 Issued in VA

Practice address

4515 Duke St
Alexandria, VA 22304-2503

Phone

(703) 751-4900

Fax

(703) 751-2906

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1609651454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 FLANDERS ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502452",
            "telephone_number": "571-426-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042503",
            "telephone_number": "703-751-4900",
            "fax_number": "703-751-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBEDE",
        "first_name": "MATHIAS",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazuko K Price MD LTD
• Jane Keady, LMSW/LGSW
• Mary Jane Kearney, CRNA
• Ayantu Kebede
• Mahedere Kebede
• Rahel Kebede
• Teresa Mary-Riad Keddis, PHARMD
• Emily Keehn, PHARMD
• Christina Anne Keenan, LPC
• Lataya A Keene, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.