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

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 and National Provider Directory roles.

• Procare Pharmacy Health Center

  • 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.