NPIMap

Organization Active NPI

South County Health Center

  • Community/Retail Pharmacy
  • Alexandria, VA
National Provider Identifier
1699052043
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004034 Issued in VA
Legal business name
SOUTH COUNTY HEALTH CENTER
Doing business as
South County Health Center
Practice address
8350 Richmond Hwy
Suite #301
Alexandria, VA 22309-2300
Phone
(703) 704-6798
Fax
(703) 704-6679
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Koorosh JeiranNPI 1740711852
Title
CHCN Director of Pharmacy
Phone
(703) 459-7394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0201004034 VA Primary

Addresses

Primary practice location

8350 Richmond Hwy
Suite #301
Alexandria, VA 22309-2300

Mailing address

8350 Richmond Hwy
Suite #301
Alexandria, VA 22309-2300
Phone (703) 704-6798

Other identifiers 1

IdentifierTypeStateIssuer
4843454OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • South County Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bailey's Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1699052043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY",
            "address_2": "SUITE #301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092300",
            "telephone_number": "703-704-6798",
            "fax_number": "703-704-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY",
            "address_2": "SUITE #301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092300",
            "telephone_number": "703-704-6798",
            "fax_number": "703-704-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "JEIRAN",
        "authorized_official_first_name": "KOOROSH",
        "authorized_official_title_or_position": "CHCN DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "703-459-7394"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4843454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.