TDS Health

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TDS HEALTH

Practice address

4215 Dale Blvd
Woodbridge, VA 22193-2243

Phone

(703) 457-1049

Fax

(571) 659-9028

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Stella N. Kintu, PHARM DNPI 1710353248

Title

Pharmacist

Phone

(703) 878-1837

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TDS Health Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

TDS Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TDS Health

  • Intellectual & Developmental Disabilities Psychologist
  • Woodbridge, VA
  • NPI 1679269930
  NPD tax ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• TDS Health

  • Intellectual & Developmental Disabilities Psychologist
  • Woodbridge, VA
  • NPI 1679269930
  NPPES parent name
• TDS Health Home Care LLC

  • Home Health Agency
  • Woodbridge, VA
  • NPI 1942821145
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stella N Kintu, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Woodbridge, VA
  • NPI 1710353248
  NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1467975565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "034-571-0497",
            "fax_number": "571-659-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-457-1049",
            "fax_number": "571-659-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "KINTU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "703-878-1837",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467975565",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TDS Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maha Balla Taylor, STUDENT
• Marcey Taylor, B.A.
• Monica Taylor, NP
• Florence Tchouaffi-Nana, M.D.
• TDG Dental Group PLLC
• TDS Health
• TDS Health Home Care LLC
• Team Dental at River Oaks
• Helen Teferi
• Tekivan Group, Inc.

• Community/Retail Pharmacy in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.