Active NPI
Eric Paul White, PHARMACIST
- Pharmacist
- Burke, VA
National Provider Identifier
1699934083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011149
- Practice address
- 5999 Burke Commons Rd
Burke, VA 22015-2880 - Phone
- (703) 249-7700
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011149 | VA | Primary |
Addresses
Primary practice location
5999 Burke Commons Rd
Burke, VA 22015-2880
Mailing address
4728 Western St
Fairfax, VA 22030-4484
Phone (703) 909-6069
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011149 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1699934083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 WESTERN ST",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304484",
"telephone_number": "703-909-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 BURKE COMMONS RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220152880",
"telephone_number": "703-249-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ERIC",
"middle_name": "PAUL",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.