Individual provider Active NPI

Gihan Seraka, RPH

  • Pharmacist
  • Lorton, VA
National Provider Identifier
1881982601
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202204419 Issued in VA
Practice address
8988 Lorton Station Blvd
Suite 102
Lorton, VA 22079-4756
Phone
(703) 339-9599
Fax
(703) 339-7111
NPI assigned
Jul 13, 2011
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 0202204419 VA Primary

Addresses

Primary practice location

8988 Lorton Station Blvd
Suite 102
Lorton, VA 22079-4756

Mailing address

8988 Lorton Station Blvd
Suite 102
Lorton, VA 22079-4756
Phone (703) 339-9599

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202204419VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KC Pharmacy Healthmart Inc Current Accepting new patients
KC Pharmacy Healthmart Inc Current Accepting new patients

Locations

8988 Lorton Station Blvd
Ste 102
Lorton, VA 22079
Phone (703) 339-9599

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1881982601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8988 LORTON STATION BLVD",
            "address_2": "SUITE 102",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794756",
            "telephone_number": "703-339-9599",
            "fax_number": "703-339-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 LORTON STATION BLVD",
            "address_2": "SUITE 102",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794756",
            "telephone_number": "703-339-9599",
            "fax_number": "703-339-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAKA",
        "first_name": "GIHAN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.