North County Health Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004060 Issued in VA

Legal business name

NORTH COUNTY HEALTH CENTER

Doing business as

North County Health Center

Practice address

11484 Washington PLZ W
Suite #300
Reston, VA 20190-4344

Phone

(703) 787-3217

Fax

(703) 481-3853

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Koorosh Jeiran

Title

CHCN Director of Pharmacy

Phone

(703) 459-7394

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• North County Health Center Doing business as

Tax ID family

Bailey'S Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bailey'S Health Center

  • Community/Retail Pharmacy
  • Falls Church, VA
  • NPI 1417234865
  NPD tax ID
• South County Health Center

  • Community/Retail Pharmacy
  • Alexandria, VA
  • NPI 1699052043
  NPD tax ID

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1508143959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11484 WASHINGTON PLZ W",
            "address_2": "SUITE #300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904344",
            "telephone_number": "703-787-3217",
            "fax_number": "703-481-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11484 WASHINGTON PLZ W",
            "address_2": "SUITE #300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904344",
            "telephone_number": "703-787-3217",
            "fax_number": "703-481-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "JEIRAN",
        "authorized_official_first_name": "KOOROSH",
        "authorized_official_title_or_position": "CHCN DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "703-459-7394"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4843466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayle P Nissen, LCSW
• Michael Ayuk Nkongho, PHARM. D
• Eduardo Christian Noguera, M.D.
• Ahmad Osman Noori, M.D.
• Ann Norman, LCSW
• Dayna Northart, PHD
• Northern Virginia Applied Behavior Analysis, L.L.C.
• Northern Virginia Center for Arthritis, PC
• Northern Virginia Hearing Aid LLC
• Northern Virginia Multi-Specialty, LLC

• Community/Retail Pharmacy in Reston, VA
• Providers in Reston, 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 Nov 14, 2011; 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.