Organization Active NPI

Falls Church Pharmacy, Inc

  • Community/Retail Pharmacy
  • Falls Church, VA
National Provider Identifier
1659363711
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201003833 Issued in VA
Legal business name
FALLS CHURCH PHARMACY, INC
Practice address
6795 Wilson Blvd
Ste 1-a
Falls Church, VA 22044-3318
Phone
(703) 237-2182
Fax
(703) 237-0613
NPI assigned
Aug 16, 2005
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Ms. Thu Anh Bui, PHARM.D.NPI 1912053844
Title
Pharmacist/Owner
Phone
(703) 237-2182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201003833 VA Primary

Addresses

Primary practice location

6795 Wilson Blvd
Ste 1-a
Falls Church, VA 22044-3318

Mailing address

6795 Wilson Blvd Ste 1a
Falls Church, VA 22044-3313
Phone (703) 237-2182

Other identifiers 3

IdentifierTypeStateIssuer
009120394MedicaidVA
008519765MedicaidVA
4837398OtherVANCPDP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000807 VA Part B Supplier - Mass Immunization (Roster Biller Only) 8224243688 Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Locations

6795 Wilson Blvd
#1A
Falls Church, VA 22044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1659363711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 WILSON BLVD STE 1A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443313",
            "telephone_number": "703-237-2182",
            "fax_number": "703-237-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 WILSON BLVD",
            "address_2": "STE 1-A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443318",
            "telephone_number": "703-237-2182",
            "fax_number": "703-237-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS CHURCH PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "THU",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "703-237-2182",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009120394",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008519765",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4837398",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.