Active NPI
Eric Paradisi
- Pharmacist
- Gainesville, VA
National Provider Identifier
1215537964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011799
- Practice address
- 7575 Linton Hall Rd
Gainesville, VA 20155-2971 - Phone
- (703) 754-2357
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011799 | VA | Primary |
Addresses
Primary practice location
7575 Linton Hall Rd
Gainesville, VA 20155-2971
Mailing address
10159 Strawflower LN
Manassas, VA 20110-6651
Phone (703) 472-0507
Other practice location 1
10159 Strawflower Ln
Manassas, VA 20110-6651
Phone (703) 754-2357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011799 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Gainesville, VA
- NPI 1467485714
-
- Community/Retail Pharmacy
- Parkville, MD
- NPI 1639938020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1215537964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10159 STRAWFLOWER LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201106651",
"telephone_number": "703-472-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 LINTON HALL RD",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201552971",
"telephone_number": "703-754-2357"
}
],
"practiceLocations": [
{
"address_1": "10159 Strawflower Ln",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201106651",
"country_code": "US",
"telephone_number": "703-754-2357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARADISI",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.