SOUTH COUNTY HEALTH CENTER (NPI# 1699052043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699052043 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY HEALTH CENTER |
| Other Organization Name | SOUTH COUNTY HEALTH CENTER |
| Practice Address |
8350 Richmond Hwy Suite #301 Alexandria VA 22309-2300 |
| Practice Telephone | 7037046798 |
| Practice Fax Number | 7037046679 |
| Mailing Telephone | 7037046798 |
| Mailing Fax Number | 7037046679 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | KOOROSH JEIRAN (CHCN DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7034597394 |
| 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 |
0201004034 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4843454 | 01 |
| Other Name | Type Code |
|---|---|
| South County Health Center | Doing Business As Name - Organization |
| Street Address |
8350 RICHMOND HWY SUITE #301 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22309-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640116 | Pamela A Frank | Counselor | 8350 Richmond Hwy, Suite 415, Alexandria, VA 22309-2300 | 2005-09-27 |
| 1427616085 | Leslie Healy | Counselor | 8350 Richmond Hwy, Alexandria, VA 22309-2300 | 2019-05-30 |
| 1952835191 | Ashley Alexander | Counselor | 8350 Richmond Hwy, Suite 515, Alexandria, VA 22309-2300 | 2017-04-14 |
| 1801191010 | Megan Sarah Wilkerson | Social Worker | 8350 Richmond Hwy, Suite 415, Alexandria, VA 22309-2300 | 2011-01-19 |
| 1700056819 | Caroline Alexandra Monger | Counselor | 8350 Richmond Hwy, Suite 415, Alexandria, VA 22309-2300 | 2008-03-04 |
| 1740483759 | Elizabeth Anne Petersilia | Social Worker | 8350 Richmond Hwy, 515, Alexandria, VA 22309-2300 | 2007-06-07 |
| 1871717074 | Constance Bell | Speech-Language Pathologist | 8350 Richmond Hwy, Alexandria, VA 22309-2300 | 2007-04-12 |
| 1124241799 | Donna Proctor Ettinger | Audiologist | 8350 Richmond Hwy, Suite 233, Alexandria, VA 22309-2300 | 2007-04-11 |
| 1750430682 | Faisal Asif Chaudri | Internal Medicine | 8350 Richmond Hwy, Suite 301, Alexandria, VA 22309-2300 | 2007-01-09 |
| 1912061425 | Erin Elizabeth Salisbury | Social Worker | 8350 Richmond Hwy, Suite 507, Alexandria, VA 22309-2300 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083245112 | Apex Classic Home Health Care | Home Health | 4711 Lauriefrost Ct., Alexandria, VA 22309 | 2020-01-28 |
| 1760901359 | Kumera Care Transportation LLC | Non-emergency Medical Transport (VAN) | 8048 Buckman Ct., Alexandria, VA 22309 | 2017-09-14 |
| 1720518483 | Lamaya Middleton | Marriage & Family Therapist | 4335 Gramercy Circle, Alexandria, VA 22309 | 2017-06-15 |
| 1528423423 | Galaxy Home Health Care | Home Health | 8619-c Richmond Hwy, Engleside Office Park, Suite C, Alexandria, VA 22309 | 2015-12-18 |
| 1255541819 | Joan Marie Warden | Counselor | 8550 Richmond Highway, 2nd Floor, Alexandria, VA 22309 | 2007-05-23 |
| 1427134303 | Laura Marie Sauer | Social Worker | 8850 Richmond Highway, Suite 201, Alexandria, VA 22309 | 2006-10-31 |
| 1316029895 | Access Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 8400 Radford Ave, Alexandria, VA 22309 | 2006-10-20 |
| 1740363209 | Byron P Dixon | Dentist | 8804-f Pear Tree Court, Alexandria, VA 22309 | 2006-10-20 |
| 1730272923 | Laraine Anne Abrams | Registered Nurse | 8851 Richmond Hwy, St 202, Alexandria, VA 22309 | 2006-10-02 |
| 1871695106 | Frona Ellen Adelson | Social Worker | 8550 Richmond Hgwy, Suite 515, Alexandria, VA 22309 | 2006-09-05 |
| Find all providers in zip 22309 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1346777000 | Old Dominion Pharmacy LLC | Pharmacy | 8792 Sacramento Dr, Suite I, Alexandria, VA 22309-1676 | 2017-05-12 |
| 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 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22309 |
Please comment or provide details below to improve the information on SOUTH COUNTY HEALTH CENTER.
| 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.