MRS. CECILIA M CARBALLO (NPI# 1609144914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609144914 |
| Entity Type | Individual |
| Full Name | MRS. CECILIA M CARBALLO |
| Credential | R.PH |
| Practice Address |
13047 Fair Lakes Shopping Ctr T1341 Fairfax VA 22033-5179 |
| Mailing Address |
13047 Fairlakes Shopping Ctr T1341 Fairfax VA 22033 |
| Practice Telephone | 7034498186 |
| Practice Fax Number | 7034498186 |
| Mailing Telephone | 7034498182 |
| Mailing Fax Number | 7034498182 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202204493 | VA | Pharmacy Service Providers |
| Street Address |
13047 FAIR LAKES SHOPPING CTR T1341 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-5179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003838780 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2006-07-24 |
| 1467974634 | Fair Lakes Optometry | Optometrist | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2017-07-10 |
| 1619367588 | Shannon Abell | Pharmacy Technician | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2015-01-30 |
| 1255721023 | Suhaila Omar | Pharmacy Technician | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2015-01-30 |
| 1699165563 | Diem Lindsey | Pharmacy Technician | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2015-01-30 |
| 1699116335 | Wanda Nguyen | Pharmacist | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2013-07-10 |
| 1477807279 | Anh Tram Nguyen | Optometrist | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2012-10-31 |
| 1518254390 | Vikas Arora | Pharmacist | 13047 Fair Lakes Shopping Ctr, T-1341, Fairfax, VA 22033-5179 | 2011-06-30 |
| 1720375504 | Julianne Yunha Lee | Pharmacist | 13047 Fair Lakes Shopping Ctr, T-1341, Fairfax, VA 22033-5179 | 2011-06-30 |
| 1023304839 | Patricia Powers | Pharmacist | 13047 Fair Lakes Shopping Ctr, T-1341, Fairfax, VA 22033-5179 | 2011-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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.