PROSPERITY RX ARLINGTON (NPI# 1104362227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104362227 |
| Entity Type | Organization |
| Organization Name | PROSPERITY RX ARLINGTON |
| Other Organization Name | PRESTON'S PHARMACY |
| Practice Address |
5101 Lee Hwy Arlington VA 22207-1603 |
| Practice Telephone | 7035223412 |
| Practice Fax Number | 7035223414 |
| Mailing Telephone | 7035223412 |
| Mailing Fax Number | 7035223414 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | VICTORIA CARRASCO (PHARMACY MANAGER) |
| Authorized Official Telephone | 7032162533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 0201002360 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166759 | 01 |
| Other Name | Type Code |
|---|---|
| Preston's Pharmacy | Doing Business As Name - Organization |
| Street Address |
5101 LEE HWY |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22207-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820383 | Myrna Carlin Del Olivar | Dentist | Santa Rosalia 20380, Ste 3, Tijuana, BAJA CALIFORNIA 22207 | 2017-09-18 |
| 1770937617 | Jennifer Claire Gagnon | Nurse Practitioner | 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207 | 2016-04-18 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1508121856 | Ashanti Sade Fludd | Home Health Aide | 5010 22nd Street, North Arlington, VA 22207 | 2012-07-11 |
| 1619204609 | Nathaniel Thomas Connally Jr. | Internal Medicine | 3563 N. Abingdon St., Arlington, VA 22207 | 2009-11-11 |
| 1548421076 | Physical Therapy Health Center | Clinic/Center | 5312 N 36th St, Arlington, VA 22207 | 2008-06-18 |
| 1770784415 | Edmund Russell Lynn Jr. | Social Worker | 6033 Little Falls Rd, Arlington, VA 22207 | 2007-05-30 |
| 1053520494 | Deborah Cusick Defranco | Specialist/Technologist | 1426 North Quincy Street, Arlington, VA 22207 | 2007-05-22 |
| 1316081284 | Denise E Bruner Md & Assoc PC | Internal Medicine | 5015 Lee Highway, Suite 201, Arlington, VA 22207 | 2007-02-16 |
| 1740340751 | Albert John Kalil | Psychologist | 4635 14th St North, Arlington, VA 22207 | 2006-12-11 |
| Find all providers in zip 22207 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272476 | Organic Pharmacy LLC | Pharmacy | 5001 S Cooper St Ste 215, Arlington, TX 76017-5993 | 2019-12-18 |
| 1215499751 | Pioneer Drugs Inc | Pharmacy | 1117 W Pioneer Pkwy Ste 105, Arlington, TX 76013-6398 | 2019-04-03 |
| 1740751759 | Wyndham Pharmacy Inc | Pharmacy | 903 Medical Centre Dr Ste C, Arlington, TX 76012-4754 | 2018-12-17 |
| 1316431794 | Remcare Pharmacy Inc | Pharmacy | 306 E Randol Mill Rd Ste 500, Arlington, TX 76011-1409 | 2018-06-19 |
| 1306341128 | Matlock Village Family Pharmacy, Pllc | Pharmacy | 6201 Matlock Rd Ste 125, Arlington, TX 76002-2763 | 2018-03-25 |
| 1265935795 | The Bartell Drug Co | Pharmacy | 7423 204th St Ne, Arlington, WA 98223-8204 | 2018-03-12 |
| 1396244000 | Kroger Texas Lp | Pharmacy | 5101 W Sublett Rd, Arlington, TX 76017-1178 | 2018-02-08 |
| 1467968438 | Mercy Care Pharmacy LLC | Pharmacy | 801 Road To Six Flags W Ste 122, Ste 122, Arlington, TX 76012-2615 | 2017-12-28 |
| 1861947350 | Saigon Pharmacare | Pharmacy | 100 W Pioneer Pkwy Ste 113b, Arlington, TX 76010-6129 | 2016-08-24 |
| 1952854812 | Rx Hcp Pllc | Pharmacy | 3148 Matlock Rd Ste 507, Arlington, TX 76015-2923 | 2016-07-27 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.