Fairfax Station Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FAIRFAX STATION PHARMACY

Practice address

5616G Ox Rd
Fairfax Station, VA 22039-1018

Phone

(703) 495-3410

Fax

(703) 995-0756

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Hany Farag

Title

President

Phone

(703) 495-3410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1578040176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616G OX RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391018",
            "telephone_number": "703-495-3410",
            "fax_number": "703-995-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616G OX RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391018",
            "telephone_number": "703-495-3410",
            "fax_number": "703-995-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX STATION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "FARAG",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-495-3410"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Eidelkind, LCSW
• Fereshteh Ejtemai, PHARMACIST
• Donna Esmaeili
• Essential Home Care LLC
• Fairfax Internal Medicine and Primary Care PC
• Janice Irene Falk, LCSW
• Forbes Wellness LLC
• Jill Forbes, C.N.P.
• Valthea Courtney Fry, FNP-C
• Marylouise Calabrese Ganssle, PT

• Community/Retail Pharmacy in Fairfax Station, VA
• Providers in Fairfax Station, 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 Jul 26, 2018; 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.