IVY A KWAPONG (NPI# 1356744361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356744361 |
| Entity Type | Individual |
| Full Name | IVY A KWAPONG |
| Credential | PHARMD |
| Practice Address |
11600 Sunrise Valley Dr Suite 100 Reston VA 20191-1412 |
| Mailing Address |
3840 Lightfoot St Unit 442 Chantilly VA 20151-3019 |
| Practice Telephone | 8503459188 |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202212426 | VA | Pharmacy Service Providers |
| Street Address |
11600 SUNRISE VALLEY DR SUITE 100 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669416863 | E. Kim Swiger | Pharmacist | 11600 Sunrise Valley Dr, Suite 100, Reston, VA 20191-1412 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1629629811 | Thao Nguyen | Pharmacist | 2260 Hunters Woods Plz, Reston, VA 20191-2898 | 2019-09-27 |
| 1578939922 | Yasmeen Khan | Pharmacist | 12025 Town Square St Unit 1214, Reston, VA 20190-6036 | 2015-08-19 |
| 1245639905 | Ronald Anthony Rulis | Pharmacist | 12197 Sunset Hills Rd., Reston, VA 20190 | 2014-08-19 |
| 1346589694 | Lindsay Nicole Samuel | Pharmacist | 11080 Saffold Way, Reston, VA 20190-3812 | 2013-02-06 |
| 1285973768 | Andrew Troy Wilson | Pharmacist | 10823 Cross School Rd, Reston, VA 20191-5107 | 2013-02-04 |
| 1134483324 | James Joseph Mizner Jr. | Pharmacist | 11608 Brandon Hill Way, Reston, VA 20194-1215 | 2012-07-02 |
| 1043580632 | Mariam Mirkhel | Pharmacist | 1860 Town Center Dr Ste G-200, Reston, VA 20190-5896 | 2012-01-12 |
| 1861792806 | Herbert A Mccall | Pharmacist | 11806 Spectrum Ctr, Reston, VA 20190-3327 | 2010-10-25 |
| 1780991232 | Ngocuyen M Pham | Pharmacist | 2260a Hunters Woods Plz, Reston, VA 20191-2898 | 2010-09-04 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.