Bantayehu Tadele Woju

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202222681 Issued in VA

Practice address

6400 Hoadly Rd
Manassas, VA 20112-3436

Phone

(703) 259-6390

NPI assigned

Apr 14, 2025

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

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
  • Manassas, VA
  • NPI 1134451818
  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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1649065186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 PORT ROYAL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512102",
            "telephone_number": "703-321-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 HOADLY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123436",
            "telephone_number": "703-259-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJU",
        "first_name": "BANTAYEHU",
        "middle_name": "TADELE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202222681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Deniece Winn, LCSW
• Danna Winslow
• Felicia E Wisenyuy, FNP
• Brittany Witcher-Baker
• Charlette Michelle Woelkers, PT, DPT
• Laurie Wolf, NP
• Michael Wolfe
• Michael Kin Chung Wong, OD
• Mary Cathy Wood, LCSW
• Ronnie Wood

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.