Active NPI
Da Eun Han, PHARMD
- Pharmacist
- Alexandria, VA
National Provider Identifier
1801461603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202219242
- Practice address
- 6717 Richmond Hwy
Alexandria, VA 22306-6704 - Phone
- (703) 721-0912
- Fax
- (703) 721-0918
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0202219242 | VA | Primary |
Addresses
Primary practice location
6717 Richmond Hwy
Alexandria, VA 22306-6704
Mailing address
9864 Oakdale Woods CT
Vienna, VA 22181-6075
Phone (703) 740-7891
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | IntercomPlus |
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 |
|---|---|---|---|
| 0202219242 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6717 Richmond Hwy
Alexandria, VA 22306
Phone (703) 721-0912
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1801461603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9864 OAKDALE WOODS CT",
"city": "VIENNA",
"state": "VA",
"postal_code": "221816075",
"telephone_number": "703-740-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6717 RICHMOND HWY",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223066704",
"telephone_number": "703-721-0912",
"fax_number": "703-721-0918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "DA EUN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219242",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "IntercomPlus",
"affiliation": "N",
"address_1": "6717 Richmond Hwy",
"city": "Alexandria",
"state": "VA",
"country_code": "US",
"postal_code": "223066704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.