Organization Active NPI

Taz Trading Company LLC

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Ashburn, VA
National Provider Identifier
1346333770
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004117 Issued in VA
Legal business name
TAZ TRADING COMPANY LLC
Doing business as
Medicap Pharmacy
Practice address
44260 Ice Rink PLZ
Ste 105
Ashburn, VA 20147-6040
Phone
(703) 858-9616
Fax
(703) 858-9313
NPI assigned
Sep 30, 2006
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Thomas Ziegler, RPH
Title
Owner
Phone
(703) 858-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004117 VA Primary

Addresses

Primary practice location

44260 Ice Rink PLZ
Ste 105
Ashburn, VA 20147-6040

Mailing address

44260 Ice Rink PLZ
Ste 105
Ashburn, VA 20147-6040

Other identifiers 3

IdentifierTypeStateIssuer
4839556OtherOTHER ID NUMBER-COMMERCIAL NUMBER
010359384MedicaidVA
1346333770MedicaidVA

Other names 1

  • MEDICAP PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

44260 Ice Rink Plz
Ste 105
Ashburn, VA 20147
Phone (703) 858-9616

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1346333770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44260 ICE RINK PLZ",
            "address_2": "STE 105",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44260 ICE RINK PLZ",
            "address_2": "STE 105",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476040",
            "telephone_number": "703-858-9616",
            "fax_number": "703-858-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZ TRADING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-858-9616",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4839556",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010359384",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346333770",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.