STONE SPRINGS PHARMACY INC (NPI# 1114391604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114391604 |
| Entity Type | Organization |
| Organization Name | STONE SPRINGS PHARMACY INC |
| Other Organization Name | STONE SPRINGS PHARMACY, INC. |
| Practice Address |
10721 Main St Ste 107 Fairfax VA 22030-6902 |
| Mailing Address |
24818 Wind River Dr Stone Ridge VA 20105-2949 |
| Practice Telephone | 7035928300 |
| Practice Fax Number | 7035928301 |
| Mailing Telephone | 7039667853 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-12-18 |
| Authorized Official Name | TAHA TOKHI (PRESIDENT) |
| Authorized Official Telephone | 7039667853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004738 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155595 | 01 |
| Other Name | Type Code |
|---|---|
| Stone Springs Pharmacy, Inc. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Stone Springs Pharmacy Inc. | 10721 Main St., Suite 107, Fairfax, Virginia 22030 |
| Street Address |
10721 MAIN ST STE 107 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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.