Organization Active NPI

Medicine Express P C

  • Community/Retail Pharmacy
  • Arlington, VA
National Provider Identifier
1780809277
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002827 Issued in VA
Legal business name
MEDICINE EXPRESS P C
Doing business as
ARLINGTON PHARMACY
Practice address
5513 Wilson Blvd
Arlington, VA 22205-1119
Phone
(703) 525-0500
Fax
(703) 525-0502
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Won Lee, RPHNPI 1184693863
Title
Owner
Phone
(703) 525-0500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201002827 VA Primary

Addresses

Primary practice location

5513 Wilson Blvd
Arlington, VA 22205-1119

Mailing address

5513 Wilson Blvd
Arlington, VA 22205-1119
Phone (703) 525-0500

Other identifiers 3

IdentifierTypeStateIssuer
1780809277MedicaidVA
008535981MedicaidVA
2105662OtherPK

Other names 1

  • ARLINGTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5513 Wilson Blvd
Arlington, VA 22205
Phone (703) 525-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1780809277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051119",
            "telephone_number": "703-525-0500",
            "fax_number": "703-525-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051119",
            "telephone_number": "703-525-0500",
            "fax_number": "703-525-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE EXPRESS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-525-0500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780809277",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008535981",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLINGTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.