TARGET PHARMACY (NPI# 1205291549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
0202212273 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | VIRGINIA PHARMACY LICENSE | 0202212273 | 01 |
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 |
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 |
Street Address |
4310 FORTUNA CENTER PLZ |
City | DUMFRIES |
State | VA |
Zip Code | 22025-1538 |
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 |
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 |
Find all providers in zip 22025 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
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 |
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.