Target

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0202214327 Issued in VA

Legal business name

TARGET

Practice address

14391 Chantilly Crossing Lane
Chantilly, VA 20151

Phone

(571) 262-0021

Fax

(571) 306-5082

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Adam Kowalczyk

Title

Pharmacist

Phone

(716) 432-5372

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1841666328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 CHANTILLY CROSSING LANE",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "571-262-0021",
            "fax_number": "571-306-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14391 CHANTILLY CROSSING LANE",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20151",
            "telephone_number": "571-262-0021",
            "fax_number": "571-306-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "KOWALCZYK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "716-432-5372",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0202214327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Sweeney
• Carolyn Tai
• Dwaa Tajeldeen
• Nickolai Talanin, MD
• Sheila Tank, FNP
• Dena Taylor, RN, MSN, CPNP
• Francesca Elise Taylor, BEHAVIOR TECHNICIAN
• Lisa Taylor, LCSW, CSAC
• Stephanie Taylor, RBT
• Keri Teboe

• Community/Behavioral Health Agency in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.