Organization Active NPI

One Stop Pharmacy Inc

  • Community/Retail Pharmacy
  • Centreville, VA
National Provider Identifier
1134426372
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004377 Issued in VA
Legal business name
ONE STOP PHARMACY INC
Practice address
13818-B Braddock Rd
Centreville, VA 20121
Phone
(703) 825-1860
Fax
(703) 825-1861
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Jee Kim
Title
President
Phone
(703) 825-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004377 VA Primary

Addresses

Primary practice location

13818-B Braddock Rd
Centreville, VA 20121

Mailing address

13818-B Braddock Rd
Centreville, VA 20121
Phone (703) 825-1860

Other identifiers 1

IdentifierTypeStateIssuer
4842729OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Hanaro Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

13818B Braddock Rd
Centreville, VA 20121
Phone (703) 825-1860

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1134426372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13818-B BRADDOCK RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-825-1860",
            "fax_number": "703-825-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13818-B BRADDOCK RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-825-1860",
            "fax_number": "703-825-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-825-1860"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4842729",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanaro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.