ALEXIS PARK (NPI# 1649870460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649870460 |
| Entity Type | Individual |
| Full Name | ALEXIS PARK |
| Practice Address |
164 Camp Creek Pkwy Zion Crossroads VA 22942-6878 |
| Mailing Address |
7236 Auburn St Annandale VA 22003-5818 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202217152 | VA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 164 Camp Creek Pkwy, Gordonsville, VA 22942 | ||
| 164 Camp Creek Pkwy, Zion Crossroads, VA 229426878 |
| Street Address |
164 CAMP CREEK PKWY |
| City | ZION CROSSROADS |
| State | VA |
| Zip Code | 22942-6878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225363328 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 164 Camp Creek Pkwy, Zion Crossroads, VA 22942-6878 | 2009-10-07 |
| 1386198190 | Shelby Shim | Pharmacist | 164 Camp Creek Pkwy, Zion Crossroads, VA 22942-6878 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225339 | Ivyrehab Sept, LLC | Occupational Therapist | 70 Jefferson Court, Suite 102, Zion Crossroads, VA 22942 | 2015-05-22 |
| 1881923654 | Spring Creek Family Dentistry & Orthodontics | Dentist | 34 Jefferson Court, Gordonsville, VA 22942 | 2009-12-08 |
| 1699328542 | Brittany Lynne Daliege | Occupational Therapist | 73 Jefferson Ct, Zion Crossroads, VA 22942 | 2019-07-19 |
| 1063975670 | Rachael Catherine Carreon | Physical Therapist | 73 Jefferson Ct, Zion Crossroads, VA 22942 | 2019-04-10 |
| 1669968533 | Sarah Elizabeth Schleich | Physical Therapist | 73 Jefferson Ct, Zion Crossroads, VA 22942 | 2018-07-03 |
| 1952832743 | Courtney Walker | Occupational Therapist | 73 Jefferson Ct, Zion Crossroads, VA 22942 | 2017-03-23 |
| 1952319295 | Jack Finley Thompson Sr. | Dentist | 402 North Main St., N/a, Gordonsville, VA 22942-0445 | 2006-08-03 |
| 1336633155 | Dolores Carr | Local Education Agency (LEA) | 4317 James Madison Hwy, Gordonsville, VA 22942-6204 | 2018-06-15 |
| 1063642692 | Jose Martin Jorge | Respiratory Therapist, Registered | 137 Pointer Ln, Gordonsville, VA 22942-6864 | 2009-07-16 |
| 1164065629 | Kristina Erin Greenberg | Nutritionist | 75 Circle Pointe Dr, Zion Crossroads, VA 22942-6935 | 2019-10-28 |
| Find all providers in zip 22942 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386198190 | Shelby Shim | Pharmacist | 164 Camp Creek Pkwy, Zion Crossroads, VA 22942-6878 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366254 | Mai Ngo | Pharmacist | 3768a Madison Ln, Falls Church, VA 22041-3678 | 2020-11-07 |
| 1619578358 | Mina Ekdawi | Pharmacist | 45735 Smoketree Ter, Sterling, VA 20166-7202 | 2020-11-07 |
| 1427659275 | Zachary Charles Woodley | Pharmacist | 151 Canterbury Ln, Winchester, VA 22603-4320 | 2020-11-06 |
| 1528669439 | Mary Nakbeen | Pharmacist | 41196 Canongate Dr, Leesburg, VA 20175-7072 | 2020-11-06 |
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1396346466 | Carl Nielsen | Pharmacist | 25050 Riding Plz, Chantilly, VA 20152-5925 | 2020-11-05 |
| 1598366460 | Gita Karimianpour | Pharmacist | 1070 Old Trail Dr, Crozet, VA 22932-3341 | 2020-11-05 |
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1669073888 | Chanju Shim | Pharmacist | 21000 Southbank St, Sterling, VA 20165-7242 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | ZION CROSSROADS |
| Zip Code | 22942 |
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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.