Active NPI
Ruth Gebremicael
- Pharmacist
- Reston, VA
National Provider Identifier
1972104669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011235
- Practice address
- 1450 Northpoint Village Ctr
Reston, VA 20194-1190 - Phone
- (703) 437-0037
- NPI assigned
- Nov 8, 2020
- Last updated
- Nov 8, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011235 | VA | Primary |
Addresses
Primary practice location
1450 Northpoint Village Ctr
Reston, VA 20194-1190
Mailing address
1450 Northpoint Village Ctr
Reston, VA 20194-1190
Phone (703) 437-0037
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 |
|---|---|---|---|
| 0202011235 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
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": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604793600000",
"number": "1972104669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 NORTHPOINT VILLAGE CTR",
"city": "RESTON",
"state": "VA",
"postal_code": "201941190",
"telephone_number": "703-437-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 NORTHPOINT VILLAGE CTR",
"city": "RESTON",
"state": "VA",
"postal_code": "201941190",
"telephone_number": "703-437-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMICAEL",
"first_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2020-11-08",
"certification_date": "2020-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
- Melaina Neyer Garrison, LMFT
- Roberta Lee Gartside, M.D.
- Terry A. Garvert, MD
- Mukta Gautam-Dhakal
- Gazelle Clinical System, Inc. (Gazelle Clinical Research)
- Generations Family Medicine PC (Generations Family Practice)
- Genlabx LLC (GenLabX)
- Paige Gentile, OTR/L
- John W Getz, PSY.D.
- Helai Meena Ghani, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.