Individual provider Active NPI

Rahmat Shah Zadran

  • Pharmacist
  • Falls Church, VA
National Provider Identifier
1841887817
Registry record updated Dec 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202217636 Issued in VA
Practice address
3535 S Jefferson St
Falls Church, VA 22041-3141
Phone
(703) 820-6360
NPI assigned
Dec 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202217636 VA Primary

Addresses

Primary practice location

3535 S Jefferson St
Falls Church, VA 22041-3141

Mailing address

3535 S Jefferson St
Falls Church, VA 22041-3141
Phone (703) 820-6360

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
0202217636VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608854400000",
    "number": "1841887817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413141",
            "telephone_number": "703-820-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413141",
            "telephone_number": "703-820-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADRAN",
        "first_name": "RAHMAT",
        "middle_name": "SHAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-25",
        "certification_date": "2020-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; 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.