VANDORN APOTHECARY LLC (NPI# 1174151716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174151716 |
| Entity Type | Organization |
| Organization Name | VANDORN APOTHECARY LLC |
| Other Organization Name | VANDORN PHARMACY |
| Practice Address |
5724 Edsall Rd Alexandria Va 22304 Alexandria VA 22304-4712 |
| Practice Telephone | 2027656110 |
| Practice Fax Number | 7033488470 |
| Mailing Telephone | 2027656110 |
| Mailing Fax Number | 7033488470 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | YODIT GULELAT (OWNER/MANAGER) |
| Authorized Official Telephone | 7033487186 |
| Is Organization Subpart | Y |
| Parent Organization Name | VANDORN APOTHECARY LCC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| vandorn pharmacy | Doing Business As Name - Organization |
| Street Address |
5724 EDSALL RD ALEXANDRIA VA 22304 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1396828786 | Harris Teeter, LLC | Pharmacy | 4641 Duke St, Alexandria, VA 22304-2505 | 2006-10-23 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
Please comment or provide details below to improve the information on VANDORN APOTHECARY LLC.
| 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.