CASSANDRA POULLATH (NPI# 1538769732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538769732 |
| Entity Type | Individual |
| Full Name | CASSANDRA POULLATH |
| Practice Address |
9401 Liberia Ave Manassas VA 20110-1718 |
| Mailing Address |
8100 Landfall Ct Gainesville VA 20155-3803 |
| Practice Telephone | 7032570864 |
| Practice Fax Number | 7032576356 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202207998 | VA | Pharmacy Service Providers |
| Street Address |
9401 LIBERIA AVE |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447277553 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 9401 Liberia Ave, Manassas, VA 20110-1718 | 2006-07-16 |
| 1740880921 | Naga Sireesha Cherukuri | Pharmacist | 9401 Liberia Ave, Manassas, VA 20110-1718 | 2020-10-28 |
| 1467052548 | Ila Pak | Pharmacist | 9401 Liberia Ave, Manassas, VA 20110-1718 | 2020-10-28 |
| 1881777563 | Wal-mart Stores East, Lp | Technician/Technologist | 9401 Liberia Ave, Manassas, VA 20110-1718 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1962000430 | Sarah Kim | Pharmacist | 12745 Galveston Ct, Manassas, VA 20112-8675 | 2020-10-15 |
| 1306284526 | Adesola Adekoya | Pharmacist | 10836 Clover Ct, Manassas, VA 20109-7250 | 2013-06-10 |
| 1649544388 | Sahar Karimi | Pharmacist | 10701 Rosemary Drive, Manassas, VA 20109 | 2012-02-27 |
| 1154607034 | Lawrence P Gonzales | Pharmacist | 8697 Sudley Road, Manassas, VA 20110 | 2011-10-24 |
| 1245522945 | Thuy-trang Luong | Pharmacist | 10060 Market Circle, Manassas, VA 20110 | 2011-05-12 |
| 1710279021 | Natalie Curling | Pharmacist | 8261 Shoppers Sq, Manassas, VA 20111-2176 | 2011-05-04 |
| 1336440981 | Rash N Elsaftawy | Pharmacist | 9637 Janet Rose Ct, Manassas, VA 20111-2537 | 2010-11-14 |
| 1881916914 | Barbara Lanette Allen | Pharmacist | 7807 Sudley Rd, Manassas, VA 20109-2805 | 2010-02-16 |
| 1427280858 | Joel R Barnes | Pharmacist | 8697 Sudley Rd, Manassas, VA 20110-4588 | 2009-08-18 |
| 1508001348 | Anteneh Endashaw | Pharmacist | 9271 Sudley Rd, Manassas, VA 20110-5222 | 2008-12-09 |
| Find all providers in MANASSAS | ||||
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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.