Hairston & Dixon Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004231 Issued in VA

Legal business name

HAIRSTON & DIXON INC

Practice address

14260C Centreville SQ
Centreville, VA 20121-2364

Phone

(703) 266-3667

Fax

(703) 266-3361

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Ernest Dixon, RPH

Title

Owner

Phone

(703) 266-3667

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CENTREVILLE MEDICAL ARTS PHARMACY Doing business as

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1184886145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14260C CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14260C CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212364",
            "telephone_number": "703-266-3667",
            "fax_number": "703-266-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRSTON & DIXON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-266-3667",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4840941",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118486145",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTREVILLE MEDICAL ARTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nessim Gill Hadiji
• Jenny Hagemeier
• Teresa Marie Haggerty, OTR/L
• Mojgan Haghshenas, OD
• Yonas Girmay Hagos
• Kelly Lynne Hale, O.D.
• Gordon Carlton Hall
• James Hamilton
• Chad Lewis Hamman
• Maya Hamze, DPT, PT

• Community/Retail Pharmacy in Centreville, VA
• Providers in Centreville, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.