Organization Active NPI

Alexandria Compounding Pharmacy

  • Community/Retail Pharmacy
  • Fairfax, VA
National Provider Identifier
1043979081
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALEXANDRIA COMPOUNDING PHARMACY
Practice address
9868 Main St
Fairfax, VA 22031-3908
Phone
(703) 549-4350
Fax
(703) 683-1039
NPI assigned
Dec 16, 2021
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Fedah Aboabdo
Title
Owner
Phone
(949) 290-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

9868 Main St
Fairfax, VA 22031-3908

Mailing address

9868 Main St
Fairfax, VA 22031-3908
Phone (703) 549-4350

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pharmacy Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1043979081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9868 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313908",
            "telephone_number": "703-549-4350",
            "fax_number": "703-683-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9868 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313908",
            "telephone_number": "703-549-4350",
            "fax_number": "703-683-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ABOABDO",
        "authorized_official_first_name": "FEDAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-290-1785"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacy",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9868 Main St",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.