FAIRFAX FAMILY PRACTICE CENTERS P C (NPI# 1215352810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215352810 |
| Entity Type | Organization |
| Organization Name | FAIRFAX FAMILY PRACTICE CENTERS P C |
| Other Organization Name | FAIRFAX FAMILY PRACTICE APOTHECARY |
| Practice Address |
3650 Joseph Siewick Dr Suite 101 Fairfax VA 22033-1710 |
| Mailing Address |
3650 Joseph Siewick Dr Suite 400 Fairfax VA 22033-1710 |
| Practice Telephone | 7033912020 |
| Practice Fax Number | 7033910082 |
| Mailing Telephone | 7033912020 |
| Mailing Fax Number | 7033910082 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | THONG TRAN (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 7033912032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004551 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1215352810 | 05 | |
| PK | 2144504 | 01 |
| Other Name | Type Code |
|---|---|
| Fairfax Family Practice Apothecary | Doing Business As Name - Organization |
| Street Address |
3650 JOSEPH SIEWICK DR SUITE 101 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596692 | Noemi S. Dosova | Pediatrics | 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 | 2005-05-24 |
| 1215546395 | Ryan Lawson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-07-24 |
| 1043842503 | Shereen A Robinson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-02-12 |
| 1700373982 | Brenda D Carpenter | Pharmacist | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2018-04-13 |
| 1487194262 | Molly Boyer Broache | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2017-02-28 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1407209307 | Tara Lynne Kiser | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-07-15 |
| 1003266552 | Thuy Phuong Thi Vo | Family Medicine | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-06-15 |
| 1760897342 | Melissa Suzanne Rogina | Advanced Practice Midwife | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2014-06-23 |
| 1104230929 | Clare Gosek | Family Medicine | 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411414 | District Rx LLC | Pharmacy | 8301 Arlington Blvd Ste 107, Fairfax, VA 22031-2902 | 2019-01-24 |
| 1194240077 | Qurex Pharmacy | Pharmacy | 3949 Pender Dr Ste 130, Fairfax, VA 22030-6033 | 2017-08-11 |
| 1942689609 | Medex Health Group LLC | Pharmacy | 3023 Hamaker Ct Ste Ll110, Fairfax, VA 22031-2630 | 2015-05-27 |
| 1598093627 | Harris Teeter, LLC | Pharmacy | 3905 Fair Ridge Dr, Fairfax, VA 22033-2906 | 2009-12-01 |
| 1649378100 | Virginia Cvs Pharmacy LLC | Pharmacy | 10090 Fairfax Blvd, Fairfax, VA 22030-1741 | 2006-09-20 |
| 1598869257 | Virginia Cvs Pharmacy LLC | Pharmacy | 10390 Willard Way, Fairfax, VA 22030-2508 | 2006-09-12 |
| 1619071370 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 13031 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2048 | 2006-09-12 |
| 1255434809 | Harris Teeter, Inc. | Pharmacy | 10320 Main St, Fairfax, VA 22030-2410 | 2006-09-07 |
| 1609986231 | Costco Wholesale Corporation | Pharmacy | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2006-08-30 |
| 1275572620 | Bjs Wholesale Club Inc | Pharmacy | 13053 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2006-06-04 |
| Find all providers in FAIRFAX | ||||
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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.