Maya Rachelle Edmond, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

0202218707 Issued in VA

Practice address

8095 Innovation Park Dr Ste 400
Fairfax, VA 22031-4868

Phone

(571) 472-5160

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1194334524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18442 CATTAIL SPRING DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766888",
            "telephone_number": "703-443-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8095 INNOVATION PARK DR STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314868",
            "telephone_number": "571-472-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "MAYA",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MD",
            "license": "26806",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "VA",
            "license": "0202218707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivka Edery, L.C.S.W.
• Edge Healthcare Inc
• Jeffrey Stephen Edge, PT
• Kevin Andrew Edinborough, MD
• Kirsten K Edmiston, M.D.
• Brenda Lee Edmonds
• Courtney Edmonds
• Autumn Edmondson
• Isabel Edmonson
• Edna Home Care Services LLC

• Ambulatory Care Pharmacist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ambulatory Care Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.