Ila Pak

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202204825 Issued in VA

Practice address

9401 Liberia Ave
Manassas, VA 20110-1718

Phone

(703) 257-0864

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1467052548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24813 NATURAL BRIDGE PL",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201101718",
            "telephone_number": "703-257-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "ILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Felix Paez, LPC, LSATP
• Robin C Pafford
• Katelyn O. Page
• Kathleenge Ann Page, M,A,
• Pak Medical Transportation Services LLC
• Danielle L Palmer, DNP
• Nitu V Pandit, P.T.
• Nehal Pania, BPT
• Sevanna Panico
• Sophia Panieczko, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.