NPIMap

Organization Active NPI

Virginia Hospital Center Arlington Health System

Doing business as Virginia Hospital Center Outpatient Pharmacy

  • Pharmacy
  • Arlington, VA
National Provider Identifier
1790045052
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201004459 Issued in VA
Legal business name
VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM
Doing business as
Virginia Hospital Center Outpatient Pharmacy
Practice address
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone
(703) 717-7750
Fax
(703) 717-7749
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Mr. Adrian Raymond Stanton
Title
Vice President/Cmo
Phone
(703) 558-6319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201004459 VA Primary

Addresses

Primary practice location

1701 N George Mason Dr
Arlington, VA 22205-3610

Mailing address

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 717-7750

Other names 1

  • Virginia Hospital Center Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211022000429 DC Part B Supplier - Pharmacy 8820065022 Practice locations: Arlington, VA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Electrodiagnostic Assoc4 organizations share this tax ID, including this one
Part of
Electrodiagnostic Assoc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3475 N Beauregard St
Ste 202
Alexandria, VA 22302
Phone (703) 717-7112

700 S Washington St
Ste 214
Alexandria, VA 22314
Phone (703) 717-7747

7611 Little River Tpke
Ste 108B
Annandale, VA 22003
Phone (703) 717-7262

1635 N George Mason Dr
Ste 485
Arlington, VA 22205
Phone (703) 516-4973

22556 Amendola Ter
Ste 130
Ashburn, VA 20148
Phone (571) 465-9289

44125 Woodridge Pkwy
Ste 280
Leesburg, VA 20176
Phone (703) 443-6700

525 E Market St
Ste B
Leesburg, VA 20176
Phone (703) 443-6700

1420 Spring Hill Rd
Ste 202
Mc Lean, VA 22102
Phone (571) 765-1730

1760 Old Meadow Rd
Ste 400
Mc Lean, VA 22102
Phone (703) 717-7923

8100 Boone Blvd
Ste 140
Vienna, VA 22182
Phone (703) 717-7988

Practitioners & affiliated clinicians

Practitioners 110

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.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1790045052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-717-7750",
            "fax_number": "703-717-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-717-7750",
            "fax_number": "703-717-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "VICE PRESIDENT/CMO",
        "authorized_official_telephone_number": "703-558-6319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Hospital Center Outpatient 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 May 21, 2012; 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.