Organization Active NPI

Misk LLC

Doing business as lifetime pharmacy and compounding

  • Pharmacy
  • Woodbridge, VA
National Provider Identifier
1699438853
Registry record updated Dec 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MISK LLC
Doing business as
lifetime pharmacy and compounding
Practice address
2068 Daniel Stuart SQ
Woodbridge, VA 22191-3315
Phone
(571) 380-3881
NPI assigned
Oct 14, 2021
Last updated
Dec 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2021

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

Authorized official

Name
Ali AlshaikhliNPI 1215327739
Title
Owner
Phone
(571) 380-3881

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
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

2068 Daniel Stuart SQ
Woodbridge, VA 22191-3315

Mailing address

2068 Daniel Stuart SQ
Woodbridge, VA 22191-3315

Other names 1

  • lifetime pharmacy and compounding Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220201002941 VA Part B Supplier - Pharmacy 0840683579 Practice locations: Woodbridge, VA
O20220325000073 VA Part B Supplier - Independent Clinical Laboratory 0840683579 Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

2068 Daniel Stuart Sq
Woodbridge, VA 22191
Phone (571) 380-3881

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": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640390400000",
    "number": "1699438853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 DANIEL STUART SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 DANIEL STUART SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913315",
            "telephone_number": "571-380-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A",
        "authorized_official_last_name": "ALSHAIKHLI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-380-3881"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifetime pharmacy and compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; 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.