STANISLAV MYASKOVSKY (NPI# 1194076141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194076141 |
| Entity Type | Individual |
| Full Name | STANISLAV MYASKOVSKY |
| Practice Address |
10580 Arrowhead Drive Fairfax Health Center Fairfax VA 22030 |
| Practice Telephone | 5714322680 |
| Practice Fax Number | 5714322795 |
| Mailing Telephone | 5714322680 |
| Mailing Fax Number | 5714322795 |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0202209347 | VA | Pharmacy Service Providers |
| Street Address |
10580 ARROWHEAD DRIVE FAIRFAX HEALTH CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417509 | Nghi V Nguyen | Family Medicine | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2005-06-20 |
| 1962754309 | Daoud H. Abulhawa | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-09 |
| 1750633616 | Henry Hung Tran | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-02 |
| 1669723672 | Behnaz Daghigh | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-01 |
| 1639420680 | Paul Chinnaraj | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-29 |
| 1306196324 | Hoa N. Tran | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-17 |
| 1215287578 | Chau Bao Dinh | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-14 |
| 1508116682 | Gezehagne Bahiru | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-09-14 |
| 1700133907 | Anne Marie Marie Neary | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-08-07 |
| 1134476518 | Hoai Nguyen | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-08-05 |
| Find all providers in the same location | ||||
| 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 | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429624 | Jin Hong | Pharmacist | 3600 Joseph Siewick Dr, Department of Pharmacy, Fairfax, VA 22033-1709 | 2015-02-07 |
| 1962754309 | Daoud H. Abulhawa | Pharmacist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2012-10-09 |
| 1770779639 | Pamela Grace Manwaring | Pharmacist | 33 Valley Rd, Fairfax, CA 94930-1914 | 2007-09-24 |
| 1417099557 | Neal Huang | Pharmacist | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2007-02-13 |
| 1578617890 | Susan Joan Morikawa | Pharmacist | 12011 Lee Jackson Memorial Hwy, 2nd Floor, Fairfax, VA 22033-3310 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731504 | Yingkai Tong | Pharmacist | 1288 Middleton Ct, Vienna, VA 22182-1489 | 2019-10-14 |
| 1033600135 | Benjamin Van Tassell | Pharmacist | 410 North 12th Street, Room 660a, Vcu School of Pharmacy, Box 980533, Richmond, VA 23298-0533 | 2018-05-23 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1861850380 | John Gardner | Pharmacist | 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 | 2016-01-29 |
| 1447632237 | Edith Murray | Pharmacist | 270 W Bute St, Apt. 1401, Norfolk, VA 23510-1438 | 2015-06-29 |
| 1649683343 | Thomas Tekalign | Pharmacist | 9510 Daniel French St, Lorton, VA 22079-2328 | 2014-06-10 |
| 1982016390 | Tonya Coles Davis | Pharmacist | 7708 Balla Ct, Henrico, VA 23228-6345 | 2014-05-20 |
| 1457607368 | Michael Edward Kieffer | Pharmacist | 718 Day Ln, Alexandria, VA 22314-6247 | 2012-07-29 |
| 1518238443 | Eugene Irwin Erb | Pharmacist | 1159 Grand Oaks Dr, Forest, VA 24551-4650 | 2012-01-24 |
| 1730471244 | Scotty R Matney | Pharmacist | 11223 Indian Creek Rd, Pound, VA 24279 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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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.