Prosperity Pharmacy Med Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004836 Issued in VA

Legal business name

PROSPERITY PHARMACY MED CENTER INC

Practice address

8505 Arlington Blvd Ste 110
Fairfax, VA 22031-4636

Phone

(703) 495-3350

Fax

(703) 620-3020

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Alfonso Gaitan

Title

Controller

Phone

(703) 334-5180

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hann's Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Noelle Souders, RPH

  • Pharmacist
  • Fairfax, VA
  • NPI 1831781103
  NPD

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1922596691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314636",
            "telephone_number": "703-495-3350",
            "fax_number": "703-620-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314636",
            "telephone_number": "703-495-3350",
            "fax_number": "703-620-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY PHARMACY MED CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GAITAN",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "703-334-5180"
    },
    "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": "0201004836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hann's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Project Health Corp
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• Prospect Homecare Agency
• Prosperity Labs LLC
• Prosperity RX Fairfax Inc
• Prost Counseling Services, LLC
• Diane McCarthy Prost, PSYD, MED, NCC, LPC
• Marina Protopapas, D.O.
• Providence Dental Arts

• Community/Retail Pharmacy in Fairfax, VA
• Providers in Fairfax, 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 Sep 19, 2025; 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.