Individual provider Active NPI

Farah Al-Mtwali, PHARMD

  • Pharmacist
  • Annandale, VA
National Provider Identifier
1639773906
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202208082 Issued in VA
Practice address
7205 Little River Tpke
Annandale, VA 22003-3304
Phone
(703) 256-4030
Fax
(703) 916-8945
NPI assigned
Nov 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202208082 VA Primary

Addresses

Primary practice location

7205 Little River Tpke
Annandale, VA 22003-3304

Mailing address

7205 Little River Tpke
Annandale, VA 22003-3304
Phone (703) 256-4030

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

LicenseStateTypeSpecialty
0202208082VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1639773906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 LITTLE RIVER TPKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033304",
            "telephone_number": "703-256-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 LITTLE RIVER TPKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033304",
            "telephone_number": "703-256-4030",
            "fax_number": "703-916-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-MTWALI",
        "first_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.