Fairfax Nursing Center Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011795 Issued in VA

Legal business name

FAIRFAX NURSING CENTER PHARMACY

Practice address

10701 Main St
Fairfax, VA 22030-6904

Phone

(703) 273-7705

Fax

(703) 273-2072

NPI assigned

Sep 21, 2006

Last updated

Sep 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vu Nguyen

Title

Director of Pharmacy

Phone

(703) 273-7705

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1326146291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306904",
            "telephone_number": "703-273-7705",
            "fax_number": "703-273-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306904",
            "telephone_number": "703-273-7705",
            "fax_number": "703-273-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX NURSING CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "703-273-7705"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008530866",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfax Neonatal Associates, P.C. (Pediatric and Adolescent Sleep Center)
• Fairfax Neonatal Associates, P.C. (Pediatric Infectious Disease Group)
• Fairfax Neonatal Associates, P.C. (Pediatric Infectious Disease Group)
• Fairfax Neonatal Associates, PC (Pediatric Lung and Allergy Center)
• Fairfax Neonatal Associates, PC (Pediatric Surgical Group)
• Fairfax Nursing Center, Inc
• Fairfax OB-GYN Associates, Inc.
• Fairfax Operator LLC (Fairfax Rehabilitation and Nursing Center)
• Fairfax Optometry, LLC (My Eye Dr.)
• Fairfax Oral and Maxillofacial Surgery PC

• Pharmacist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.