Organization Active NPI

Mirixa Corporation

  • Pharmacist
  • Reston, VA
National Provider Identifier
1073740676
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0201004294 Issued in VA
Legal business name
MIRIXA CORPORATION
Practice address
11600 Sunrise Valley Dr Suite 100
Mirixa Corporation/Community Pharmacy Services ('CPS')
Reston, VA 20191-1412
Phone
(703) 774-9607
Fax
(855) 855-7440
NPI assigned
Jun 22, 2009
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MIRIXA CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Ms. Karen Litsinger, ESQUIRE
Title
SVP Operations and General Counsel
Phone
(703) 865-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 0201004294 VA Primary

Addresses

Primary practice location

11600 Sunrise Valley Dr Suite 100
Mirixa Corporation/Community Pharmacy Services ('CPS')
Reston, VA 20191-1412

Mailing address

11600 Sunrise Valley Dr Suite 100
Mirixa Corporation/Community Pharmacy Services ('CPS')
Reston, VA 20191-1412
Phone (703) 774-9607

Other names 1

  • Community Pharmacy Services ('CPS') Other name

National Provider Directory

National Provider Directory
Part of
Mirixa Corporation

Locations

11600 Sunrise Valley Dr
Ste 100
Reston, VA 20191
Phone (703) 774-9607

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1073740676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 SUNRISE VALLEY DR SUITE 100",
            "address_2": "MIRIXA CORPORATION/COMMUNITY PHARMACY SERVICES ('CPS')",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911412",
            "telephone_number": "703-774-9607",
            "fax_number": "855-855-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 SUNRISE VALLEY DR SUITE 100",
            "address_2": "MIRIXA CORPORATION/COMMUNITY PHARMACY SERVICES ('CPS')",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911412",
            "telephone_number": "703-774-9607",
            "fax_number": "855-855-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIXA CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRIXA CORPORATION",
        "enumeration_date": "2009-06-22",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "LITSINGER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SVP OPERATIONS AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "703-865-2007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201004294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy Services ('CPS')",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.