Organization Active NPI

West Falls Church Pharmacy & Medical Supply LLC

  • Community/Retail Pharmacy
  • Falls Church, VA
National Provider Identifier
1083427553
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WEST FALLS CHURCH PHARMACY & MEDICAL SUPPLY LLC
Practice address
1075 W Broad St
Falls Church, VA 22046-4610
Phone
(703) 381-6550
Fax
(703) 381-6570
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Peyman Paul Zareh, RPHNPI 1932726296
Title
Owner
Phone
(423) 676-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1075 W Broad St
Falls Church, VA 22046-4610

Mailing address

1075 W Broad St
Falls Church, VA 22046-4610
Phone (703) 381-6550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606001203 DC Part B Supplier - Pharmacy 4183141385 Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Locations

1075 W Broad St
Falls Church, VA 22046
Phone (703) 381-6550

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1083427553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464610",
            "telephone_number": "703-381-6550",
            "fax_number": "703-381-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 W BROAD ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464610",
            "telephone_number": "703-381-6550",
            "fax_number": "703-381-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FALLS CHURCH PHARMACY & MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "ZAREH",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-676-0080",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.