Healthcare Provider Details

I. General information

NPI: 1346055902
Provider Name (Legal Business Name): EMILY ANN SHYGELSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N CAMERON ST STE 100
WINCHESTER VA
22601-6018
US

IV. Provider business mailing address

44234 BIG TRAIL TER APT 201
ASHBURN VA
20147-2234
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-1680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202222531
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: