Active NPI
Nayeun Go
- Pharmacist
- Manassas, VA
National Provider Identifier
1912769365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202221502
- Practice address
- 10213 Dumfries Rd
Manassas, VA 20110-7954 - Phone
- (703) 330-4574
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Sex
- Female
- 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 | 0202221502 | VA | Primary |
Addresses
Primary practice location
10213 Dumfries Rd
Manassas, VA 20110-7954
Mailing address
5519 Quail CT
Clifton, VA 20124-0903
Phone (571) 325-4264
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 |
|---|---|---|---|
| 0202221502 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
10213 Dumfries Rd
Manassas, VA 20110
Phone (703) 330-4574
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": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1912769365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5519 QUAIL CT",
"city": "CLIFTON",
"state": "VA",
"postal_code": "201240903",
"telephone_number": "571-325-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10213 DUMFRIES RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201107954",
"telephone_number": "703-330-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GO",
"first_name": "NAYEUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202221502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.