Prajakta Amol Fulambarkar

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202209060 Issued in VA

Practice address

19360 Compass Creek Pkwy
Leesburg, VA 20175-5445

Phone

(703) 779-0164

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1952902207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22440 CONSERVANCY DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488065",
            "telephone_number": "703-297-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19360 COMPASS CREEK PKWY",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755445",
            "telephone_number": "703-779-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULAMBARKAR",
        "first_name": "PRAJAKTA",
        "middle_name": "AMOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Nabwire Frenzel, NP
• Frances Elaine Arroyo Friedman, CRNA
• Janice Louise Fristad, LCSW, LGSW, CAE
• Katherine Dale Fritts, PA-C
• Angela Frye, LPC
• Fuller & Spencer Fuller, PC
• Robert Dodd Fuller, D.D.S.
• Alicia Margarita Funes, LCSW, CYT
• Jeanie N Furnari, LCSW
• Victoria Jane Fye, RBT

• Pharmacist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.