Guardian Pharmacy of Northern Virginia, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF NORTHERN VIRGINIA, LLC

Doing business as

Guardian Pharmacy of Northern Virginia, LLC

Practice address

13525 Wellington Center Cir Ste 109
Gainesville, VA 20155-4062

Phone

(866) 768-8479

Fax

(866) 928-3983

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Chad Terry

Title

President/Owner

Phone

(866) 768-8479

Specialties & licenses 1

Addresses

Other names 1

• Guardian Pharmacy of Northern Virginia, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Guardian Pharmacy of Northern Virginia LLC2 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.

• Guardian Pharmacy of Northern Virginia, LLC

  dba Wellness Concepts

  • Long Term Care Pharmacy
  • Grottoes, VA
  • NPI 1750209938
  NPD tax ID

Locations

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1538860697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 WELLINGTON CENTER CIR STE 109",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554062",
            "telephone_number": "866-768-8479",
            "fax_number": "866-928-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 WELLINGTON CENTER CIR STE 109",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554062",
            "telephone_number": "866-768-8479",
            "fax_number": "866-928-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF NORTHERN VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "866-768-8479"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://guardianpharmacy.com/",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "13525 Wellington Center Cir Ste 109",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201554062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Northern Virginia, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mechelle Anntionette Greeley, COTA/L
• Christina Green, LPN
• Greenhill Family Dental Care LLC
• Gary F Gregasavitch, DPM
• Audrey Noelle Gregoire, MSW
• Guardian Residential Services LLC
• Erin Guiffre, LCSW, BCBA, LBA
• Sarah Gulinski, LCSW
• Alok K Gupta, MD
• Gyan Incorporated (Behavioral Care Services)

• Long Term Care Pharmacy in Gainesville, VA
• Providers in Gainesville, 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 Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.