Individual provider Active NPI

Kaylin P Quach, PHARMD

  • Pharmacist
  • Arlington, VA
National Provider Identifier
1942809371
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202216796 Issued in VA
Practice address
3600 S Glebe Rd Ste 100
Arlington, VA 22202-2379
Phone
(703) 412-9144
Fax
(703) 412-9474
NPI assigned
Oct 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202216796 VA Primary

Addresses

Primary practice location

3600 S Glebe Rd Ste 100
Arlington, VA 22202-2379

Mailing address

3600 S Glebe Rd Ste 100
Arlington, VA 22202-2379
Phone (703) 412-9144

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1194922930 Harris Teeter LLC

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

LicenseStateTypeSpecialty
0202216796VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1942809371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S GLEBE RD STE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022379",
            "telephone_number": "703-412-9144",
            "fax_number": "703-412-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S GLEBE RD STE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022379",
            "telephone_number": "703-412-9144",
            "fax_number": "703-412-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "KAYLIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202216796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1194922930",
            "affiliation": "Y",
            "endpointDescription": "NPI",
            "affiliationName": "Harris Teeter LLC",
            "address_1": "3600 S Glebe Rd Ste 100",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222022379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.