Active NPI
Valerie Denise Jackson, PHARMACIST
- Ambulatory Care Pharmacist
- Falls Church, VA
National Provider Identifier
1306440565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 0202006313
- Practice address
- 6360 Seven Corners Ctr
Falls Church, VA 22044-2409 - Phone
- (703) 534-6688
- Fax
- (703) 534-6683
- NPI assigned
- Nov 27, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 0202006313 | VA | Primary |
Addresses
Primary practice location
6360 Seven Corners Ctr
Falls Church, VA 22044-2409
Mailing address
903 Maher CT
Fort Washington, MD 20744-5937
Phone (301) 292-9891
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pharmacy | Health Information Exchange (HIE) | |
| CONNECT URL | Pharmacy | Direct |
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 |
|---|---|---|---|
| 0202006313 | VA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1306440565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MAHER CT",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207445937",
"telephone_number": "301-292-9891",
"fax_number": "301-292-9891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 SEVEN CORNERS CTR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442409",
"telephone_number": "703-534-6688",
"fax_number": "703-534-6683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "VALERIE",
"middle_name": "DENISE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "VA",
"license": "0202006313",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pharmacy",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6360 Seven Corners Ctr",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220442409",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pharmacy",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6360 Seven Corners Ctr",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220442409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.