PROSPERITY RX FAIRFAX INC


Address: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354
Phone: 7033345180

PROSPERITY RX FAIRFAX INC (NPI# 1255738076) 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) 1255738076
Entity Type Organization
Organization Name PROSPERITY RX FAIRFAX INC
Other Organization Name PROSPERITY RX FAIRFAX, INC.
Practice Address 2740 Prosperity Ave Ste 200
Fairfax
VA 22031-4354
Mailing Address 2740 Prosperity Ave
Suite 200
Fairfax
VA 22031-4353
Practice Telephone 7033345180
Practice Fax Number 7036202030
Mailing Telephone 7033345180
Mailing Fax Number 7036202030
Enumeration Date 2014-11-21
Last Update Date 2017-04-24
Authorized Official Name FRANK ODEH (PRESIDENT)
Authorized Official Telephone 7035174779
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
0201004617 VA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2147267 01

Other Provider/Organization Names

Other Name Type Code
Prosperity Rx Fairfax, Inc. Doing Business As Name - Organization

Office Location

Street Address 2740 PROSPERITY AVE STE 200
City FAIRFAX
State VA
Zip Code 22031-4354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801845284 Yasser Hadj Ousman Internal Medicine 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2006-05-10
1801449657 Katherine Kline Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2019-07-22
1801383617 James Wadell Brunson Jr. Counselor 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2018-04-17
1336642180 Nina Mesadieu Nurse Practitioner 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2018-03-16
1871004952 Jekaterina Tolstenko Nurse Practitioner 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2017-10-17
1306222120 Emily Viall Registered Nurse 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2015-08-04
1366844185 Sarah Kelly Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2014-09-24
1164733879 Sarah Penland Social Worker 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2010-06-28
1184954539 Laura Leigh Wolok Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2010-01-07
1952563785 Shwetha Thukuntla Internal Medicine 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 2008-07-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City FAIRFAX
Zip Code 22031

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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