Active NPI
Linda Mahlmann, PHARM.D.
- Pharmacist
- Fairfax, VA
National Provider Identifier
1881964427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16952
- Practice address
- 10980 Fairfax Blvd
Fairfax, VA 22030-4329 - Phone
- (703) 259-6168
- NPI assigned
- Jan 12, 2012
- Last updated
- Jan 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59633 | CA | |
| Pharmacist | 183500000X | 16952 | NV | Primary |
| Pharmacist | 183500000X | 19429 | MD | |
| Pharmacist | 183500000X | 0202209581 | VA |
Addresses
Primary practice location
10980 Fairfax Blvd
Fairfax, VA 22030-4329
Mailing address
10980 Fairfax Blvd
Fairfax, VA 22030-4329
Phone (703) 259-6168
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 |
|---|---|---|---|
| 0202209581 | VA | MD | Pharmacist |
| 19429 | MD | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1881964427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10980 FAIRFAX BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304329",
"telephone_number": "703-259-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10980 FAIRFAX BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304329",
"telephone_number": "703-259-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHLMANN",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59633",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16952",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19429",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.