Individual provider Active NPI

Nader Abedinzadeh

  • Pharmacist
  • Leesburg, VA
National Provider Identifier
1942963483
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011595 Issued in VA
Practice address
19465 Deerfield Ave Ste 107
Leesburg, VA 20176-1702
Phone
(703) 726-2800
Fax
(703) 723-2500
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202011595 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave Ste 107
Leesburg, VA 20176-1702

Mailing address

20701 Ashburn Valley CT
Ashburn, VA 20147-4660
Phone (571) 430-9558

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
0202011595VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdowne Pharmacy LLC PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1942963483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 ASHBURN VALLEY CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474660",
            "telephone_number": "571-430-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 107",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761702",
            "telephone_number": "703-726-2800",
            "fax_number": "703-723-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDINZADEH",
        "first_name": "NADER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.