Parkview North Virginia RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PARKVIEW NORTH VIRGINIA RX, LLC

Practice address

11230 Waples Mill Rd Ste 115
Fairfax, VA 22030-5026

Phone

(703) 272-7040

Fax

(703) 272-7497

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Justin Waclawek

Title

Chief Operating Officer

Phone

(716) 876-2323

Specialties & licenses 3

Addresses

Other names 1

• ParkviewRx Northern Virginia Doing business as

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1508624909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MAIN ST # 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263350",
            "telephone_number": "716-876-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 WAPLES MILL RD STE 115",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305026",
            "telephone_number": "703-272-7040",
            "fax_number": "703-272-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW NORTH VIRGINIA RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "WACLAWEK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "716-876-2323"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ParkviewRx Northern Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tameka Parker, LCSW
• Thomas Patrick Parker
• Tiffany Parkes Moscova
• Linda Jean Parkes, LPC
• Alysia Parkhurst, DPT
• Aly Parmar
• Manjula Devi Parne, RRT
• Emily Nicole Parrell, OTR/L
• Jazmine Parrish, LCSW
• Pamela Williams Parsons, BS, MS, ANP-C

• Long Term Care Pharmacy in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.