DR. MARK LUNDBLAD (NPI# 1588277388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588277388 |
| Entity Type | Individual |
| Full Name | DR. MARK LUNDBLAD |
| Credential | PHARMD |
| Practice Address |
7205 Little River Tpke Annandale VA 22003-3304 |
| Mailing Address |
4108 Fountainside Ln Fairfax VA 22030-6097 |
| Practice Telephone | 7032564030 |
| Mailing Telephone | 7039946429 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202205245 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982877049 | Mark Todd Lundblad | Physical Therapist | 2365 Edison Blvd, Suite #70, Twinsburg, OH 44087-2388 | 2008-04-10 |
| Street Address |
7205 LITTLE RIVER TPKE |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750485413 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7205 Little River Tpke, Annandale, VA 22003-3304 | 2006-09-12 |
| 1790306645 | Heather Haeyoung Chung | Nurse Practitioner | 7205 Little River Tpke, Annandale, VA 22003-3304 | 2020-05-01 |
| 1689126294 | Joyce Ndagire | Nurse Practitioner | 7205 Little River Tpke, Annandale, VA 22003-3304 | 2016-10-30 |
| 1407131113 | Heather Mantyla Hansson | Nurse Practitioner | 7205 Little River Tpke, Minute Clinic, Annandale, VA 22003-3304 | 2011-10-13 |
| 1609956648 | Sandra E. Sohns | Nurse Practitioner | 7205 Little River Tpke, Annandale, VA 22003-3304 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| 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 |
|---|---|---|---|---|
| 1871126375 | Eujin Ahn | Pharmacist | 7700 Little River Tpke Ste 100b, Annandale, VA 22003-2406 | 2020-02-13 |
| 1407487986 | Sarah Saghir Shami | Pharmacist | 7550 Davian Dr, Annandale, VA 22003-5447 | 2020-02-03 |
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1780245043 | Tramara Dam | Pharmacist | 4919 Erie St, Annandale, VA 22003-5411 | 2019-06-26 |
| 1528534617 | Trinh Ngoc Nguyen | Pharmacist | 4557 Ravensworth Rd, Annandale, VA 22003-5712 | 2018-10-16 |
| 1750866299 | Seok Youn Shin | Pharmacist | 7700 Little River Tpke Ste 103, Annandale, VA 22003-2400 | 2018-10-01 |
| 1295284404 | Sung Hwa Yook | Pharmacist | 7031 Little River Tpke Ste 9b, Annandale, VA 22003-5958 | 2016-09-28 |
| 1679936041 | Lina Nakbeen | Pharmacist | 4251 John Marr Dr, Annandale, VA 22003-3205 | 2016-04-01 |
| 1942669031 | Mylinh Tran | Pharmacist | 7102 Vellex Ln, Annandale, VA 22003-6026 | 2016-02-17 |
| 1235413394 | David Lobenebrg | Pharmacist | 6 Brighton Ct, Annandale, NJ 08801-3348 | 2011-10-06 |
| Find all providers in ANNANDALE | ||||
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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.