NPIMap

Organization Active NPI

Director of Finance-County of Fairfax VA

Doing business as Fairfax County Health Department Pharmacy

  • Clinic Pharmacy
  • Fairfax, VA
National Provider Identifier
1073548160
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
0201001462 Issued in VA
Legal business name
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Doing business as
Fairfax County Health Department Pharmacy
Practice address
3750 Old Lee Highway
Fairfax, VA 22030-6903
Phone
(703) 246-7113
NPI assigned
Jul 11, 2006
Organization subpart
Yes
Parent organization
COUNTY OF FAIRFAX, VIRGINIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Rosalyn Foroobar
Title
Deputy Director for Health Services
Phone
(703) 246-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 0201001462 VA Primary

Addresses

Primary practice location

3750 Old Lee Highway
Fairfax, VA 22030-6903

Mailing address

12000 Government Center Pkwy
Suite 552
Fairfax, VA 22035-0001
Phone (703) 324-3360

Other identifiers 1

IdentifierTypeStateIssuer
8519161MedicaidVA

Other names 1

  • Fairfax County Health Department Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairfax County Virginia6 organizations share this tax ID, including this one
Part of
Fairfax County Virginia

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1073548160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 GOVERNMENT CENTER PKWY",
            "address_2": "SUITE 552",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220350001",
            "telephone_number": "703-324-3360",
            "fax_number": "703-324-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 OLD LEE HIGHWAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306903",
            "telephone_number": "703-246-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF FAIRFAX, VIRGINIA",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "FOROOBAR",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR FOR HEALTH SERVICES",
        "authorized_official_telephone_number": "703-246-2411"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "VA",
            "license": "0201001462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8519161",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax County Health Department Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfax County Health Department Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2018; 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.