Aka LLC

Key facts

NPI

1871921809

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Legal business name

AKA LLC

Practice address

9830 Liberia Pharmacy
Manassas, VA 20110

Phone

(703) 330-8201

Fax

(703) 330-8202

NPI assigned

Oct 30, 2013

Organization subpart

No

Authorized official

Name

Mrs. Naeimeh Tabarani, PHARMACY TECH

Title

Owner

Phone

(703) 629-6089

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• liberia pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2013.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1871921809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 ASHBURN VALLEY CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474660",
            "telephone_number": "703-629-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 LIBERIA PHARMACY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-330-8201",
            "fax_number": "703-330-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "TABARANI",
        "authorized_official_first_name": "NAEIMEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-629-6089",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACY TECH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "1942494165",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "liberia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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