Active NPI
Socheata Stadther
- Pharmacy Technician
- Burke, VA
National Provider Identifier
1861319428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 0230012617
- Practice address
- 5999 Burke Commons Rd
Burke, VA 22015-2880 - Phone
- (703) 249-7943
- NPI assigned
- Jul 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0230012617 | VA | Primary |
Addresses
Primary practice location
5999 Burke Commons Rd
Burke, VA 22015-2880
Mailing address
4029 Forge Dr
Woodbridge, VA 22193-2215
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1861319428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 FORGE DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221932215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 BURKE COMMONS RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220152880",
"telephone_number": "703-249-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADTHER",
"first_name": "SOCHEATA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": "VA",
"license": "0230012617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.