Active NPI
Freweini W Tewelde, RPH
- Community/Retail Pharmacy
- Arlington, VA
National Provider Identifier
1669760716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Practice address
- 1028 S Walter Reed Dr Ste 7
Arlington, VA 22204-0815 - Phone
- (571) 699-3593
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202205540 | VA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1028 S Walter Reed Dr Ste 7
Arlington, VA 22204-0815
Mailing address
1028 S Walter Reed Dr Ste 7
Arlington, VA 22204-0815
Phone (571) 699-3593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8507813 | Medicaid | VA |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205540 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joule Pharmacy Group Inc | Pharmacist | Current | Accepting new patients |
Locations
1028 S Walter Reed Dr
Ste 7
Arlington, VA 22204
Phone (571) 699-3593
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1669760716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 S WALTER REED DR STE 7",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222040815",
"telephone_number": "571-699-3593",
"fax_number": "855-382-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 S WALTER REED DR STE 7",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222040815",
"telephone_number": "571-699-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEWELDE",
"first_name": "FREWEINI",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202205540",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8507813",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.