Individual provider Active NPI

Howard Foard Van Horn III, PHARM.D, M.B.A.

  • Pharmacist
  • Ashburn, VA
National Provider Identifier
1780954230
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202206210 Issued in VA
Practice address
20321 Susan Leslie Dr
Ashburn, VA 20147-5682
Phone
(703) 726-8647
Fax
(703) 729-7240
NPI assigned
Dec 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202206210 VA Primary

Addresses

Primary practice location

20321 Susan Leslie Dr
Ashburn, VA 20147-5682

Mailing address

43281 Tumbletree Ter
Broadlands, VA 20148-4590
Phone (703) 726-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202206210VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1780954230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43281 TUMBLETREE TER",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484590",
            "telephone_number": "703-726-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 SUSAN LESLIE DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475682",
            "telephone_number": "703-726-8647",
            "fax_number": "703-729-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "HOWARD",
        "middle_name": "FOARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARM.D, M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.