Active NPI
Mirixa Corporation
- Pharmacist
- Reston, VA
National Provider Identifier
1073740676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0201004294
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- MIRIXA CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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')
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.