Express Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004491 Issued in VA

Legal business name

EXPRESS PHARMACY

Practice address

1690 Old Bridge Rd
Woodbridge, VA 22192-8006

Phone

(703) 494-8000

Fax

(571) 572-3647

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joel Ocran Sarsah, PHARMDNPI 1992056139

Title

Owner

Phone

(703) 494-8000

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Express 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.

• Joel Sarsah, PHARMD

  • Pharmacist
  • Woodbridge, VA
  • NPI 1992056139
  NPD Authorized official

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1992057756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928006",
            "telephone_number": "703-494-8000",
            "fax_number": "571-572-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928006",
            "telephone_number": "703-494-8000",
            "fax_number": "571-572-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "SARSAH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "OCRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-494-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004491",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992057756",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Woodbridge, VA
• Providers in Woodbridge, 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 10, 2021; 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.