DR. MAYA RACHELLE EDMOND (NPI# 1194334524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194334524 |
| Entity Type | Individual |
| Full Name | DR. MAYA RACHELLE EDMOND |
| Credential | PHARMD |
| Practice Address |
8095 Innovation Park Dr Ste 400 Fairfax VA 22031-4868 |
| Mailing Address |
18442 Cattail Spring Dr Leesburg VA 20176-6888 |
| Practice Telephone | 5714725160 |
| Mailing Telephone | 7034432293 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
26806 | MD | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
0202218707 | VA | Pharmacy Service Providers |
| Street Address |
8095 INNOVATION PARK DR STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306404801 | Steven Sytsma | Pharmacist | 835 Glenrock Rd Ste 110, Norfolk, VA 23502-3767 | 2019-05-31 |
| 1811552763 | Jennifer Lazzara | Pharmacist | 1220 Lee St, Charlottesville, VA 22908-0817 | 2019-05-07 |
| 1952966947 | Lori Dunn | Pharmacist | 1335 Jefferson Park Avenue, Charlottesville, VA 22908-0001 | 2019-05-06 |
| 1700441813 | Aaron Scot Howell | Pharmacist | 1240 Lee St Rm 1407, Charlottesville, VA 22908-0817 | 2019-05-03 |
| 1689148447 | Mark Anthony Bilello | Pharmacist | 5817 Viewpoint Ave, Salem, VA 24153-8369 | 2019-01-15 |
| 1497280457 | Tracy Williams Parker | Pharmacist | 4730 N Southside Plaza, Richmond, VA 23224 | 2017-04-27 |
| 1477093417 | Raffi Vartanian | Pharmacist | 309 Yoakum Pkwy Apt 809, Alexandria, VA 22304-3936 | 2017-02-23 |
| 1104273507 | Blessing Ekemezie | Pharmacist | 7814 Attleboro Dr, Springfield, VA 22153-2713 | 2016-05-16 |
| 1710586771 | Abraham Belay Gebremariam | Pharmacist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2020-10-21 |
| 1962016337 | Andrea Lynne Hobbs | Pharmacist | 7007 Harbour View Blvd Ste 114, Suffolk, VA 23435-3657 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.