Individual provider Active NPI

Noor Takieddin

  • Pharmacy Technician
  • Fairfax, VA
National Provider Identifier
1821681313
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230026980 Issued in VA
Practice address
11620 Monument Dr
Fairfax, VA 22030-8706
Phone
(703) 225-9393
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230026980 VA Primary

Addresses

Primary practice location

11620 Monument Dr
Fairfax, VA 22030-8706

Mailing address

4668 Kearns CT
Centreville, VA 20120-6445
Phone (703) 225-9393

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Noor@sereenmanagement.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
0230026980VAMDPharmacy Technician

Interoperability endpoints

  • Direct secure messaging: noor@sereenmanagement.com

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1821681313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 KEARNS CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201206445",
            "telephone_number": "703-225-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 MONUMENT DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308706",
            "telephone_number": "703-225-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKIEDDIN",
        "first_name": "NOOR",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230026980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noor@sereenmanagement.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "4668 Kearns Ct",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201206445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.