Inova Compounding Pharmacy, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

INOVA COMPOUNDING PHARMACY, LLC

Practice address

3901 Stonecroft Blvd Ste A1300
Chantilly, VA 20151-1032

Phone

(571) 472-6281

Fax

(571) 432-3141

NPI assigned

Jul 9, 2026

Organization subpart

No

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

Authorized official

Name

Debra Brooks

Title

Sr Director Pharmacy

Phone

(571) 472-1898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1659299253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 STONECROFT BLVD STE A1300",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511032",
            "telephone_number": "571-472-6281",
            "fax_number": "571-432-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 STONECROFT BLVD STE A1300",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511032",
            "telephone_number": "571-472-6281",
            "fax_number": "571-432-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SR DIRECTOR PHARMACY",
        "authorized_official_telephone_number": "571-472-1898"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Max-Andre Isidore, LCSW

• Compounding Pharmacy in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Compounding Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.