Organization Active NPI

Virginia Cancer Specialists, P.C.

  • Community/Retail Pharmacy
  • Fairfax, VA
National Provider Identifier
1053847293
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004756 Issued in VA
Legal business name
VIRGINIA CANCER SPECIALISTS, P.C.
Practice address
8613 Route 29 Ste 200
Fairfax, VA 22031-2172
Phone
(703) 208-9231
Fax
(703) 940-8705
NPI assigned
May 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Pamela Faye Frank
Title
Credentialing Coordinator
Phone
(703) 208-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004756 VA Primary

Addresses

Primary practice location

8613 Route 29 Ste 200
Fairfax, VA 22031-2172

Mailing address

8613 Route 29 Ste 200
Fairfax, VA 22031-2172
Phone (703) 208-9231

Other identifiers 1

IdentifierTypeStateIssuer
1053847293MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140715000266 VA DME Supplier - Physician - Hematology 2264412485 Practice locations: Fairfax, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

1701 N George Mason Dr
Ste G101
Arlington, VA 22205
Phone (703) 894-3800

8613 Route 29
Ste 200
Fairfax, VA 22031
Phone (703) 208-9231

8503 Arlington Blvd
Ste 320
Fairfax, VA 22031

3040 Williams Dr
Ste 100
Fairfax, VA 22031

8613 Route 29
#200N
Fairfax, VA 22031

8503 Arlington Blvd
Ste 340
Fairfax, VA 22031
Phone (703) 280-5390

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

14 Pidgeon Hill Dr
Ste 230
Sterling, VA 20165
Phone (571) 308-8708

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

2296 Opitz Blvd
Ste 310
Woodbridge, VA 22191
Phone (703) 823-5322

Practitioners 101

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

View all 101

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0221541Virginia Cancer Specialists, PC8613 Route 29, Fairfax, VA 22031AccreditationDec 22, 2027

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1053847293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 ROUTE 29 STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312172",
            "telephone_number": "703-208-9231",
            "fax_number": "703-940-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 ROUTE 29 STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312172",
            "telephone_number": "703-208-9231",
            "fax_number": "703-940-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CANCER SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CREDENTIALING  COORDINATOR",
        "authorized_official_telephone_number": "703-208-3963"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053847293",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "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 Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.