Individual provider Active NPI

Dianne Lesher Borghese, RPH

  • Pharmacist
  • Ashburn, VA
National Provider Identifier
1770098709
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13166 Issued in MD
Practice address
44284 Lord Fairfax PL
Ashburn, VA 20147-6015
Phone
(703) 628-8637
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100001728 DC
Pharmacist 183500000X 0202212649 VA
Pharmacist 183500000X 13166 MD Primary

Addresses

Primary practice location

44284 Lord Fairfax PL
Ashburn, VA 20147-6015

Mailing address

44284 Lord Fairfax PL
Ashburn, VA 20147-6015
Phone (703) 628-8637

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13166MDMDClinical Social Worker
PH100001728DCMDPharmacist
0202212649VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1770098709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44284 LORD FAIRFAX PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476015",
            "telephone_number": "703-628-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44284 LORD FAIRFAX PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476015",
            "telephone_number": "703-628-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGHESE",
        "first_name": "DIANNE",
        "middle_name": "LESHER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001728",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212649",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.