Mai Xuan Dam, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202012070 Issued in VA

Practice address

4215 Cheshire Station PLZ
Dale City, VA 22193

Phone

(703) 590-8021

Fax

(703) 590-6702

NPI assigned

Oct 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1124328695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 CHESHIRE STATION PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932217",
            "telephone_number": "703-590-8021",
            "fax_number": "703-590-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 CHESHIRE STATION PLZ",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "703-590-8021",
            "fax_number": "703-590-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "MAI",
        "middle_name": "XUAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202012070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashdale Chiropractic & Physical Therapy
• Ljubica Azer, M.D.
• Fatmata Bangura
• Kecia Campbell
• Dalewood Medical ENT
• Dominion Family Health, PLC
• Giant of Maryland LLC (Giant Pharmacy 741)
• Hanna Hanania, DDS
• Raymond C Haston Jr., DDS
• Najma J Khan, MD

• Pharmacist in Dale City, VA
• Providers in Dale City, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.