Prosperity RX Fairfax Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004617 Issued in VA

Legal business name

PROSPERITY RX FAIRFAX INC

Practice address

2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354

Phone

(703) 334-5180

Fax

(703) 620-2030

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Frank Odeh

Title

President

Phone

(703) 517-4779

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Prosperity Rx Fairfax, Inc. Doing business as

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1255738076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 PROSPERITY AVE",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314353",
            "telephone_number": "703-334-5180",
            "fax_number": "703-620-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PROSPERITY AVE STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314354",
            "telephone_number": "703-334-5180",
            "fax_number": "703-620-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY RX FAIRFAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-517-4779"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosperity Rx Fairfax, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Project Health Physical Therapy and Wellness LLC
• Pronto Therapy Group LLC
• Prospect Homecare Agency
• Prosperity Labs LLC
• Prosperity Pharmacy Med Center Inc
• Prost Counseling Services, LLC
• Diane McCarthy Prost, PSYD, MED, NCC, LPC
• Marina Protopapas, D.O.
• Providence Dental Arts
• Erika Pruett, PSY.D.

• Community/Retail Pharmacy in Fairfax, VA
• Providers in Fairfax, 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 Apr 24, 2017; 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.