Active NPI
Marco Antonio Estera Dela Cruz, PHARM D
- Pharmacist
- Arlington, VA
National Provider Identifier
1740889104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202217101
- Practice address
- 950 S George Mason Dr
Arlington, VA 22204-1676 - Phone
- (571) 403-9357
- Fax
- (703) 705-7560
- NPI assigned
- Oct 18, 2020
- Sex
- Male
- Sole proprietor
- No
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 | PH100003835 | DC | |
| Pharmacist | 183500000X | 0202217101 | VA | Primary |
Addresses
Primary practice location
950 S George Mason Dr
Arlington, VA 22204-1676
Mailing address
950 S George Mason Dr
Arlington, VA 22204-1676
Phone (571) 403-9357
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100003835 | DC | MD | Pharmacist |
| 0202217101 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1740889104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S GEORGE MASON DR",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041676",
"telephone_number": "571-403-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S GEORGE MASON DR",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041676",
"telephone_number": "571-403-9357",
"fax_number": "703-705-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "MARCO ANTONIO",
"middle_name": "ESTERA",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-18",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100003835",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217101",
"primary": true
}
],
"identifiers": [],
"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 Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.