Individual provider Active NPI

Freweini W Tewelde, RPH

  • Community/Retail Pharmacy
  • Arlington, VA
National Provider Identifier
1669760716
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8507813MedicaidVA

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

LicenseStateTypeSpecialty
0202205540VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joule Pharmacy Group Inc Pharmacist CurrentSince Apr 6, 2021 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.

Verify at the official NPI Registry.