Active NPI
Mypharmacy LLC
Doing business as myPharmacy
- Community/Retail Pharmacy
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MYPHARMACY LLC
- Practice address
- 14202 Smoketown Rd
Woodbridge, VA 22192-4708 - Phone
- (703) 438-1285
- NPI assigned
- Mar 21, 2022
- Last updated
- Dec 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamil Farooq Stanekzai, PHARMD
- Title
- Director/Owner
- Phone
- (703) 398-1500
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
14202 Smoketown Rd
Woodbridge, VA 22192-4708
Mailing address
14202 Smoketown Rd
Woodbridge, VA 22192-4708
Phone (703) 438-1285
Other names 1
- myPharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231227002077 | VA | Part B Supplier - Pharmacy | 3476900879 | Practice locations: Woodbridge, VA |
National Provider Directory
National Provider DirectoryLocations
14202 Smoketown Rd
Woodbridge, VA 22192
Phone (703) 398-1500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Woodbridge, VA
- NPI 1144820341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1295484079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14202 SMOKETOWN RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924708",
"telephone_number": "703-438-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14202 SMOKETOWN RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924708",
"telephone_number": "703-438-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYPHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-21",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "STANEKZAI",
"authorized_official_first_name": "JAMIL",
"authorized_official_middle_name": "FAROOQ",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "703-398-1500",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "myPharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "myPharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "myPharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.