Organization Active NPI

Chocola Drugs Inc Fairfay

  • Community/Retail Pharmacy
  • Reston, VA
National Provider Identifier
1386738698
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHOCOLA DRUGS INC FAIRFAY
Practice address
1641 Washington PLZ N
Reston, VA 20190-4305
Phone
(703) 471-4535
Fax
(703) 437-0040
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lawrence Cohn, PHARMACIST
Title
Owner
Phone
(703) 471-4535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201000688 VA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1641 Washington PLZ N
Reston, VA 20190-4305

Mailing address

1641 Washington PLZ N
Reston, VA 20190-4305

Other identifiers 2

IdentifierTypeStateIssuer
8506094MedicaidVA
4804325OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • RESTON LAKESIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1641 Washington Plz
Reston, VA 20190
Phone (703) 471-4535

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386738698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 WASHINGTON PLZ N",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 WASHINGTON PLZ N",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904305",
            "telephone_number": "703-471-4535",
            "fax_number": "703-437-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCOLA DRUGS INC FAIRFAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-471-4535",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201000688",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8506094",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4804325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESTON LAKESIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.