DR. JENNIFER CHAN (NPI# 1306346341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306346341 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CHAN |
| Credential | PHARMD. |
| Practice Address |
11620 Monument Dr Fairfax VA 22030-8706 |
| Mailing Address |
5958 Founders Hill Dr Unit 204 Alexandria VA 22310-5494 |
| Practice Telephone | 7036531645 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202214202 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685458 | Jennifer Chan | Physician Assistant | 57 Cliffside Dr, Daly City, CA 94015-1042 | 2020-09-25 |
| 1922618867 | Jennifer Chan | Specialist/Technologist | 1281 Calle Cecilia, San Dimas, CA 91773-4435 | 2020-08-05 |
| 1861048324 | Jennifer Chan | Optometrist | 19800 Hawthorne Blvd Ste 200, Torrance, CA 90503-1520 | 2019-08-12 |
| 1447734439 | Jennifer Tze-kei Chan | Optometrist | 120 W Bonita Ave Ste A, San Dimas, CA 91773-5000 | 2018-09-17 |
| 1326323973 | Jennifer Chan | Pharmacist | 3668 Auckland Castle St, Las Vegas, NV 89135-2816 | 2011-10-14 |
| 1295069045 | Jennifer M Chan | Dentist | Wright Patterson Afb Hospital, Wright Patterson Afb, OH 45433 | 2009-09-28 |
| 1598912321 | Jennifer Tan Chan | Internal Medicine | 6041 Cadillac Ave Ste 220, Los Angeles, CA 90034-1702 | 2008-08-22 |
| 1245364231 | Jennifer Nicole Chan | Physician Assistant | 107 Sunflower Dr, Pflugerville, TX 78660-4110 | 2007-03-14 |
| 1184763195 | Jennifer Chan | Plastic Surgery | Sandia Plastic Surgery, 1020 Tijeras Ave. Ne, Albuquerque, NM 87106-4749 | 2007-02-06 |
| 1750372785 | Jennifer Lisa Chan | Emergency Medicine | 10 Vining St, Neville House, Boston, MA 02115-6114 | 2005-10-31 |
| Street Address |
11620 MONUMENT DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667980 | Wegmans Food Markets, Inc | Pharmacy | 11620 Monument Dr, Attn: Pharmacy Manager, Fairfax, VA 22030-8706 | 2005-11-22 |
| 1376167551 | Rohan Raikar | Pharmacist | 11620 Monument Dr, Fairfax, VA 22030-8706 | 2020-06-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1679173777 | Farshad Soltanian | Pharmacist | 11181 Lee Hwy # F, Fairfax, VA 22030-5004 | 2020-10-28 |
| 1689274847 | Ruby Lee | Pharmacist | 12190 Waveland St Apt 401, Fairfax, VA 22033-5572 | 2020-10-27 |
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1134760564 | Susan Tavakoli | Pharmacist | 3046 Mission Square Dr, Fairfax, VA 22031-1113 | 2019-10-07 |
| 1124686894 | Magdy Morkos | Pharmacist | 4263 Jefferson Oaks Cir Apt C, Fairfax, VA 22033-4085 | 2019-05-29 |
| 1487118451 | Beauty Empower Rx LLC | Pharmacist | 3545 Chain Bridge Rd Ste 102, Fairfax, VA 22030-2708 | 2019-01-24 |
| 1619441854 | Patricia Moran | Pharmacist | 10830 Oakcrest Ct, Fairfax, VA 22030-4544 | 2019-01-21 |
| 1578031258 | Kyunglim Lainey Paek | Pharmacist | 4581 Trumpet Vine Dr, Fairfax, VA 22030-6177 | 2018-11-11 |
| 1376042978 | Nicole Laura Fischer | Pharmacist | 4116 Whitacre Rd, Fairfax, VA 22032-1144 | 2018-02-08 |
| 1245752393 | Grace Beshara Handal | Pharmacist | 4320 Cannon Ridge Ct Unit 2, Fairfax, VA 22033-6010 | 2017-07-11 |
| 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.