OLD DOMINION PHARMACY LLC


Address: 8792 Sacramento Dr, Suite I, Alexandria, VA 22309-1676
Phone: 8007186003

OLD DOMINION PHARMACY LLC (NPI# 1346777000) 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) 1346777000
Entity Type Organization
Organization Name OLD DOMINION PHARMACY LLC
Practice Address 8792 Sacramento Dr
Suite I
Alexandria
VA 22309-1676
Practice Telephone 8007186003
Mailing Telephone 8007186003
Enumeration Date 2017-05-12
Last Update Date 2017-05-12
Authorized Official Name PAUL MICHAEL RAKOWSKI (MANAGING MEMEBR)
Authorized Official Telephone 8007186003
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
0201004590 VA Suppliers

Office Location

Street Address 8792 SACRAMENTO DR
SUITE I
City ALEXANDRIA
State VA
Zip Code 22309-1676

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1255541819 Joan Marie Warden Counselor 8550 Richmond Highway, 2nd Floor, Alexandria, VA 22309 2007-05-23
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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
1174151716 Vandorn Apothecary LLC Pharmacy 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 2020-03-30
1427570258 Medplus Ac Inc. Pharmacy 6020 Richmond Hwy Ste 202, Alexandria, VA 22303-2157 2017-07-13
1467861161 Harris Teeter LLC Pharmacy 735 N Saint Asaph St, Alexandria, VA 22314-1911 2014-08-06
1114362076 Costco Wholesale Corporation Pharmacy 7940 Richmond Hwy, Alexandria, VA 22306 2013-05-06
1801134028 Wildel, LLC Pharmacy 403 Bolton Ave, Alexandria, LA 71301-7026 2013-01-23
1467767194 Wildel, LLC Pharmacy 3311 3rd St, Alexandria, LA 71302-5704 2010-08-18
1568620946 Walgreen Co Pharmacy 7629 Richmond Hwy, Alexandria, VA 22306-2802 2008-06-02
1215123096 Walgreen Co Pharmacy 615 King St, Alexandria, VA 22314-3105 2007-09-14
1649474453 Wildel, LLC Pharmacy 4740 Jackson Street Ext, Alexandria, LA 71303-2505 2007-06-14
1396828786 Harris Teeter, LLC Pharmacy 4641 Duke St, Alexandria, VA 22304-2505 2006-10-23
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Competitor

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City ALEXANDRIA
Zip Code 22309

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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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