TARGET PHARMACY


Address: 4310 Fortuna Center Plz, Dumfries, VA 22025-1538
Phone: 7035866133

TARGET PHARMACY (NPI# 1205291549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205291549
Entity Type Organization
Organization Name TARGET PHARMACY
Practice Address 4310 Fortuna Center Plz
Dumfries
VA 22025-1538
Practice Telephone 7035866133
Mailing Telephone 7035866133
Enumeration Date 2015-12-30
Last Update Date 2015-12-30
Authorized Official Name DR. ESSTEASE EMILE DOMINGUE (PHARMACIST)
Authorized Official Telephone 7576600013
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
0202212273 VA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VA VIRGINIA PHARMACY LICENSE 0202212273 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245611151 Target Pharmacy Pharmacist 8 Saint Casimir St, Boston, MA 02127-2121 2015-06-16
1902296767 Target Pharmacy Pharmacy 7701 Lafayette Forest Dr Apt 33, Annandale, VA 22003-6309 2015-02-02
1316290026 Target Pharmacy Pharmacist 1910 Sussex Ave, Cherry Hill, NJ 08003 2012-10-18
1285835256 Target Pharmacy Pharmacist 210 Beacon Ave, Jersey City, NJ 07306-3502 2007-05-29
1447628136 Target Pharmacy Pharmacist 4841 Grove Barton Rd, Raleigh, NC 27613-1900 2015-09-11
1194100214 Target Pharmacy Pharmacy 2500 E Lake St, Minneapolis, MN 55406-1909 2015-07-30
1992072847 Target Pharmacy Pharmacy 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 2011-11-21
1245525229 Target Pharmacy Pharmacist 2800 N Sutton Rd, Hoffman Estates, IL 60192-3717 2011-06-17
1881922318 Target Pharmacy Pharmacist 2900 Veterans Rd W, Staten Island, NY 10309-2502 2009-11-20
1558587774 Target Pharmacy Pharmacist 4390 Montgomery Rd, Ellicott City, MD 21043-6068 2007-04-17

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16125 10775 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16126 9009 Sw Hall Blvd, Tigard, OR 97223
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16127 9000 Se Sunnyside Rd, Clackamas, OR 97015
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16140 2295 Se Tualatin Valley Hwy, Cornelius, OR 97123
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16154 3790 Center St Ne, Salem, OR 97301
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16155 2255 14th Ave Se, Albany, OR 97322
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16158 2750 Gateway St, Springfield, OR 97477
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16159 2000 Crater Lake Hwy, Medford, OR 97504
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16336 18101 Nw Evergreen Pkwy, Beaverton, OR 97006
Oregon Corporations, Companies and Business Names TARGET PHARMACY #16744 4575 W 11th Ave, Eugene, OR 97402

Office Location

Street Address 4310 FORTUNA CENTER PLZ
City DUMFRIES
State VA
Zip Code 22025-1538

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376565069 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4310 Fortuna Center Plz, Dumfries, VA 22025-1538 2006-07-24
1548811433 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 4310 Fortuna Center Plz, Dumfries, VA 22025-1538 2019-09-23
1760872626 Samantha Mosquera Pharmacy Technician 4310 Fortuna Center Plz, Dumfries, VA 22025-1538 2015-01-30
1720428899 Sadia Karim Optometrist 4310 Fortuna Center Plz, Dumfries, VA 22025-1538 2013-07-03
1518218676 Azam Rahimi Pharmacist 4310 Fortuna Center Plz, Dumfries, VA 22025-1538 2012-09-28
1811282015 Lateesha Russ Pharmacist 4310 Fortuna Center Plz, T-2017, Dumfries, VA 22025-1538 2011-06-15
1982999389 Michelle Harbour Pharmacist 4310 Fortuna Center Plz, T-2017, Dumfries, VA 22025-1538 2011-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023622230 Joanne Perdu-ouimet Behavioral Analyst Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 2020-09-04
1194287524 Above and Beyond Therapy LLC Speech-Language Pathologist 15389 Autum Ln, Dumfries, VA 22025 2019-04-04
1669954095 Renee L Roberts Registered Nurse 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 2018-09-01
1689044869 Tracy Agyeman-badu Pharmacist 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 2015-10-01
1588054316 Tiffany Washington Pharmacy Technician 16224 Taconic Cir, Dumfries, VA 22025 2015-02-02
1568706158 Boulevard Center Pediatrics Pediatrics 3733 Fettler Park Dr., Dumfries, VA 22025 2012-11-20
1205111796 Khanh T Le Pharmacist 17506 Cajun Ct, Dumfries, VA 22025 2011-10-15
1679737761 Shailesh K Gohel Pediatrics 3733 Fettler Park Dr, Dumfries, VA 22025 2008-07-17
1376616268 Douglas Kendrick Chan Physical Therapist 3767 Fettler Park Drive, Dumfries, VA 22025 2006-11-16
1861596454 Paul Wells Conrad Dentist 16150 Country Club Drive, Dumfries, VA 22025 2006-09-12
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235730698 Richmond Vamc Clinic/Center 7702 E Parham Rd Ste 201, Richmond, VA 23294-4372 2020-11-03
1629448469 Hampton Vamc Clinic/Center 1987 S Military Hwy, Chesapeake, VA 23320-4422 2015-10-06
1609250455 Safe Hands Home Health Care LLC Clinic/Center 116 Nancy Dr Apt W1, Suffolk, VA 23434-4894 2015-07-11
1316335680 Mountain Home Vamc Clinic/Center 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 2015-01-08
1497143531 Mountain Home Vamc Clinic/Center 4451 Lee Highway, Marion, VA 24354-9998 2014-12-23
1306234448 Mountain Home Vamc Clinic/Center 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 2014-12-23
1114292737 Eyecare Center Corp Clinic/Center 4229 Jefferson Oaks Cir, K, Fairfax, VA 22033-4071 2012-03-14
1427353614 Ardis Dentistry Clinic/Center 1445 Johnston Willis Drive, Suite A, Cjw Medical Center, Richmond, VA 23235-4885 2011-01-19
1124337258 Danny J. Minor, D.c.,p.c. Clinic/Center 936 Park Ave Nw, Norton, VA 24273-1821 2010-10-07
1598072902 Richmond Vamc Clinic/Center 1746 E Atlantic St, Emporia, VA 23847-6584 2010-09-07
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Competitor

Search similar providers

City DUMFRIES
Zip Code 22025

Improve Information

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Dataset Information

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.

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