Active NPI
Katie Stephens Wasalaski
- Pharmacist
- Falls Church, VA
National Provider Identifier
1740575364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207257
- Practice address
- 5115 Leesburg Pike
1893
Falls Church, VA 22041-3207 - Phone
- (703) 253-0022
- Fax
- (703) 253-0022
- NPI assigned
- Jun 10, 2011
- Last updated
- Jun 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207257 | VA | Primary |
Addresses
Primary practice location
5115 Leesburg Pike
1893
Falls Church, VA 22041-3207
Mailing address
5902 Mount Eagle Dr Apt 310
Alexandria, VA 22303-2515
Phone (703) 855-3551
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 |
|---|---|---|---|
| 0202207257 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1740575364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5902 MOUNT EAGLE DR APT 310",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223032515",
"telephone_number": "703-855-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 LEESBURG PIKE",
"address_2": "1893",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220413207",
"telephone_number": "703-253-0022",
"fax_number": "703-253-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASALASKI",
"first_name": "KATIE",
"middle_name": "STEPHENS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.