Remedium Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

REMEDIUM PHARMACY, LLC

Practice address

3957 Pender Dr
Suite #104
Fairfax, VA 22030-6027

Phone

(703) 743-7605

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Ossama Hanna Nasralla

Title

Managing Partner

Phone

(703) 743-7605

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed M Abdelgowad, RPH

  • Pharmacist
  • Carlstadt, NJ
  • NPI 1710358627
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1033536909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 PENDER DR",
            "address_2": "SUITE #104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 PENDER DR",
            "address_2": "SUITE #104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306027",
            "telephone_number": "703-743-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIUM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "NASRALLA",
        "authorized_official_first_name": "OSSAMA",
        "authorized_official_middle_name": "HANNA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-743-7605"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Reitwiesner
• Whitney Anne Reitz, LMT, CD
• Laura R Rejent, PA-C
• Alison Relat, ND
• Elizabeth Suzanne Rellis, CPNP
• Jami Alison Remien, PMHNP -BC, PNP
• Renal Carepartners of Fairfax, LLC
• Renal Treatment Centers Mid Atlantic Inc
• Renascance Dermatology PC
• Brianna Rendin

• Community/Retail Pharmacy in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.