Stella N Kintu, PHARM.D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0202012960 Issued in VA

Practice address

4215 Dale Blvd
TDS Health
Woodbridge, VA 22193-2243

Phone

(703) 897-1837

Fax

(703) 897-4862

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TDS Health

  • Community/Retail Pharmacy
  • Woodbridge, VA
  • NPI 1467975565
  NPD Authorized official
• TDS Health

  • Intellectual & Developmental Disabilities Psychologist
  • Woodbridge, VA
  • NPI 1679269930
  NPD Authorized official
• TDS Health Home Care LLC

  • Home Health Agency
  • Woodbridge, VA
  • NPI 1942821145
  NPD Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1710353248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-878-1837",
            "fax_number": "866-412-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 DALE BLVD",
            "address_2": "TDS HEALTH",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-897-1837",
            "fax_number": "703-897-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTU",
        "first_name": "STELLA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202012960",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "VA",
            "license": "0202012960",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202012960",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "DC",
            "license": "PH100001894",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "DC",
            "license": "PH100001894",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "DC",
            "license": "PH100001894",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202012960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Enon King, DDS
• Kingdom Medical Transportation
• Porshca Kinlaw, DDS
• Minakshi Kiran
• Melissa Marie Kirkpatrick, MSW, LGSW, CSOTP
• Pecharat Kitijarurat, DPT
• John Brian Klein, MD
• Yasmine Mounia Kletter, NP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.