Individual provider Active NPI

Yodit Gulelat

  • Pharmacist
  • Alexandria, VA
National Provider Identifier
1992257117
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15800 Issued in MD
Practice address
7126 Lake Cove Dr
Alexandria, VA 22315-4221
Phone
(202) 765-6110
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR4794 ME
Pharmacist 183500000X 0202204873 VA
Pharmacist 183500000X 15800 MD Primary

Addresses

Primary practice location

7126 Lake Cove Dr
Alexandria, VA 22315-4221

Mailing address

5724 Edsall Rd
Alexandria, VA 22304-4712
Phone (202) 765-6110

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
15800MDMDPharmacist
PR4794MEMDPharmacist
0202204873VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vandorn Pharmacy Inc CurrentSince Aug 23, 2020 Accepting new patients

Locations

5724 Edsall Rd
Alexandria, VA 22304
Phone (202) 765-6110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1992257117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 EDSALL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044712",
            "telephone_number": "202-765-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7126 LAKE COVE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154221",
            "telephone_number": "202-765-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULELAT",
        "first_name": "YODIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4794",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204873",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.