Care Connect RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004745 Issued in VA

Legal business name

CARE CONNECT RX LLC

Doing business as

Care Connect Pharmacy

Practice address

6845 Elm St Ste 105
MC Lean, VA 22101-3863

Phone

(703) 790-6156

Fax

(703) 790-6159

NPI assigned

Dec 7, 2016

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mujahid Zagade

Title

Owner

Phone

(703) 790-6169

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Care Connect Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1871037093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 105",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013863",
            "telephone_number": "703-790-6156",
            "fax_number": "703-790-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST STE 105",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013863",
            "telephone_number": "703-790-6156",
            "fax_number": "703-790-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CONNECT RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ZAGADE",
        "authorized_official_first_name": "MUJAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-790-6169"
    },
    "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": "0201004745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166586",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871037093",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Connect Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in McLean, VA
• Providers in McLean, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.