Active NPI
Tara Kangarloo
- Pharmacist
- Haymarket, VA
National Provider Identifier
1396402426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202220037
- Practice address
- 6530 Trading SQ
Haymarket, VA 20169-2278 - Phone
- (703) 468-2465
- NPI assigned
- Nov 23, 2021
- Last updated
- Nov 23, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202220037 | VA | Primary |
Addresses
Primary practice location
6530 Trading SQ
Haymarket, VA 20169-2278
Mailing address
25050 Cambremer SQ
Chantilly, VA 20152-5948
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 |
|---|---|---|---|
| 0202220037 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1396402426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25050 CAMBREMER SQ",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201525948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 TRADING SQ",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201692278",
"telephone_number": "703-468-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANGARLOO",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haymarket, VA
- Stephanie Justiniano, MA
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Haymarket Crossroads Medical Center)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Haymarket Crossroads Medical Center Laboratory)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Haymarket Crossroads Pharmacy)
- Shevanthi U Kanaganayagam, PLMHP
- Kara T Gallagher, DC, PC
- Jason Bradley Karns, DMD
- Renu Kaur, LCSW
- Stanley F Kayes, DDS
- James Kennedy, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.