Active NPI
Michael A. Parker, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Springfield, VA
National Provider Identifier
1790038578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0202214261
- Practice address
- 6501 Loisdale CT
Clinical Pharmacy Call Cener - 5TH Floor
Springfield, VA 22150-1826 - Phone
- (703) 922-1590
- Fax
- (703) 922-1639
- NPI assigned
- Oct 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202214261 | VA | Primary |
| Pharmacist | 183500000X | 057291-1 | NY | |
| Pharmacist | 183500000X | 22668 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH100002298 | DC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 23971 | MD |
Addresses
Primary practice location
6501 Loisdale CT
Clinical Pharmacy Call Cener - 5TH Floor
Springfield, VA 22150-1826
Mailing address
6501 Loisdale CT
Clinical Pharmacy Services- 5TH Floor
Springfield, VA 22150-1826
Phone (703) 922-1161
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22668 | NC | MD | Pharmacist |
| 057291-1 | NY | MD | Pharmacist |
| PH100002298 | DC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 23971 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 0202214261 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1790038578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 LOISDALE CT",
"address_2": "CLINICAL PHARMACY SERVICES- 5TH FLOOR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501826",
"telephone_number": "703-922-1161",
"fax_number": "703-922-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 LOISDALE CT",
"address_2": "CLINICAL PHARMACY CALL CENER - 5TH FLOOR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221501826",
"telephone_number": "703-922-1590",
"fax_number": "703-922-1639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202214261",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057291-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22668",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "DC",
"license": "PH100002298",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "23971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.