Ethan H Bui, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202214900 Issued in VA

Practice address

7202 Poplar St
Annandale, VA 22003-3041

Phone

(571) 830-6583

Fax

(571) 830-6923

NPI assigned

Dec 29, 2020

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Procare Pharmacy Health Center

  dba Procare Pharmacy

  • Pharmacy
  • Annandale, VA
  • NPI 1962873695
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1750978367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 POPLAR ST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033041",
            "telephone_number": "571-830-6583",
            "fax_number": "571-830-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 POPLAR ST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033041",
            "telephone_number": "571-830-6583",
            "fax_number": "571-830-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "ETHAN",
        "middle_name": "H",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Brockler, PA-C
• Barrett Bolton Brown, MD
• Paulette Elizabeth Browne, M.D.
• Sofia Brycock
• Jacqueline Buarque de Macedo, LGSW, MSW
• Sidratu Aminata Bundu, FNP
• Leonora T. Burger, MSW, LCSW
• Kenneth T Burnett, MSPT
• Monica Buzzetta, PA-C
• Hyung Sik Byeon, L.AC

• Pharmacist in Annandale, VA
• Providers in Annandale, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.