NPIMap

Organization Active NPI

Inova Health Care Services

Doing business as Inova Retail Pharmacy - ICPH

  • Community/Retail Pharmacy
  • Fairfax, VA
National Provider Identifier
1093526295
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INOVA HEALTH CARE SERVICES
Doing business as
Inova Retail Pharmacy - ICPH
Practice address
8081 Innovation Park Dr FL 2
Fairfax, VA 22031-4867
Phone
(571) 472-1500
NPI assigned
Jan 16, 2025
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Debra Brooks
Title
Sr Dir Retail and Specialty Pharmac
Phone
(571) 472-1898

Specialties & licenses 1

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

Addresses

Primary practice location

8081 Innovation Park Dr FL 2
Fairfax, VA 22031-4867

Mailing address

8081 Innovation Park Dr FL 2
Fairfax, VA 22031-4867
Phone (571) 472-1500

Other names 1

  • Inova Retail Pharmacy - ICPH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111020000077 DC Part B Supplier - Mass Immunization (Roster Biller Only) 2466351093 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Leesburg, VA; Fairfax, VA; Falls Church, VA
O20250721003182 VA DME Supplier - Pharmacy 2466351093 Practice locations: Fairfax, VA

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Inova Retail Pharmacy- Icph8081 Innovation Park Dr, Fairfax, VA 22031-4867(571) 472-1500 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 24, 2021

National Provider Directory

National Provider Directory
Tax ID family
Fair Oak Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

8081 Innovation Park Dr
Fl 2
Fairfax, VA 22031
Phone (571) 472-1100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Inova Home Health LLCFairfax, VA, CCN 497008 Home health agency 5% Or Greater Indirect Ownership Interest (51%) Sep 5, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1093526295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR FL 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR FL 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SR DIR RETAIL AND SPECIALTY PHARMAC",
        "authorized_official_telephone_number": "571-472-1898"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inova Retail Pharmacy - ICPH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inova Retail Pharmacy - ICPH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.