Active NPI
Zeamanuel A Ephrem
- Pharmacist
- Great Falls, VA
National Provider Identifier
1841894573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218913
- Practice address
- 1020 Seneca Rd
Great Falls, VA 22066-1373 - Phone
- (703) 444-1570
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Sex
- Male
- 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 | 0202218913 | VA | Primary |
Addresses
Primary practice location
1020 Seneca Rd
Great Falls, VA 22066-1373
Mailing address
5720 Metroview Pkwy Apt 248
Alexandria, VA 22303-1556
Phone (312) 927-9562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202218913 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1841894573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 METROVIEW PKWY APT 248",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223031556",
"telephone_number": "312-927-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SENECA RD",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220661373",
"telephone_number": "703-444-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPHREM",
"first_name": "ZEAMANUEL",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.