Jean Marden

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202006195 Issued in VA

Practice address

12027 Town Square St
Reston, VA 20190-6025

Phone

(703) 707-9787

Fax

(703) 707-9845

NPI assigned

Nov 20, 2020

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia CVS Pharmacy LLC

  • Pharmacy
  • Reston, VA
  • NPI 1437579968
  NPD (past)
• Virginia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Sterling, VA
  • NPI 1689558371
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1134722002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 LAKE CHAPEL LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914301",
            "telephone_number": "703-758-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12027 TOWN SQUARE ST",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906025",
            "telephone_number": "703-707-9787",
            "fax_number": "703-707-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDEN",
        "first_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202006195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamil Manna, RPH
• Arya Mazda Mansouri, DDS
• Allyson Manuyag
• Malika Manyam, M.D.
• Carlene Dawn Marcus, D.D.S.
• Angela Mari, CNS
• Maria a. Hylton, LCSW, LLC
• Katarina Maric, FNP-C
• Christopher J Marino, DPT
• Paul J. Marino, PA-C

• Pharmacist in Reston, VA
• Providers in Reston, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.