Healthcare Provider Details

I. General information

NPI: 1972436723
Provider Name (Legal Business Name): AICHA NDIAYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 NEW HAMPSHIRE AVE NW
WASHINGTON DC
20010-1850
US

IV. Provider business mailing address

2555 EASTBOURNE DR
WOODBRIDGE VA
22191-4144
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-2735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH200005245
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: