NPIMap

Organization Active NPI

My Dr'S Pharmacy

  • Long Term Care Pharmacy
  • Herndon, VA
National Provider Identifier
1245076975
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MY DR'S PHARMACY
Practice address
492 Elden St Ste a
Herndon, VA 20170-4513
Phone
(703) 215-8000
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Jamil Manna, RPHNPI 1720416027
Title
Pharmacy Manager
Phone
(703) 215-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

492 Elden St Ste a
Herndon, VA 20170-4513

Mailing address

492 Elden St Ste a
Herndon, VA 20170-4513
Phone (703) 215-8000

National Provider Directory

National Provider Directory

Locations

492 Elden St
Ste A
Herndon, VA 20170
Phone (703) 215-8000

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1245076975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ELDEN ST STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704513",
            "telephone_number": "703-215-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 ELDEN ST STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704513",
            "telephone_number": "703-215-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DR'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MANNA",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "703-215-8000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.