Individual provider Active NPI

Desiree Garcia, PHARM.D.

  • Pharmacist
  • Chantilly, VA
National Provider Identifier
1245630144
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207832 Issued in VA
Practice address
14390 Chantilly Crossing LN
Pharmacy Department
Chantilly, VA 20151-2117
Phone
(703) 885-5546
Fax
(703) 885-5564
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26314 MA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0202207835 VA
Pharmacist 183500000X 0202207832 VA Primary

Addresses

Primary practice location

14390 Chantilly Crossing LN
Pharmacy Department
Chantilly, VA 20151-2117

Mailing address

14390 Chantilly Crossing LN
Pharmacy Department
Chantilly, VA 20151-2117
Phone (703) 885-5546

Other names 1

  • Dr. Desiree Robertson Former name

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26314MAMDPharmacist
0202207832VAMDPharmacist
0202207835VAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1245630144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 CHANTILLY CROSSING LN",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512117",
            "telephone_number": "703-885-5546",
            "fax_number": "703-885-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14390 CHANTILLY CROSSING LN",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512117",
            "telephone_number": "703-885-5546",
            "fax_number": "703-885-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "26314",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202207835",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "ROBERTSON",
            "prefix": "DR.",
            "credential": "PHARM.D,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.