MR. DALE TERRIER (NPI# 1619367471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619367471 |
| Entity Type | Individual |
| Full Name | MR. DALE TERRIER |
| Credential | CPHT |
| Practice Address |
2905 District Ave Ste 400 Fairfax VA 22031-2273 |
| Practice Telephone | 5715333752 |
| Practice Fax Number | 5715333762 |
| Mailing Telephone | 5715333752 |
| Mailing Fax Number | 5715333762 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 0230021280 | VA | Pharmacy Service Providers |
| Street Address |
2905 DISTRICT AVE STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881169191 | Priya Mohan | Pharmacist | 2905 District Ave, Fairfax, VA 22031-2273 | 2018-10-12 |
| 1952792343 | Jimmy Le | Pharmacy Technician | 2905 District Ave, Ste 400, Fairfax, VA 22031-2273 | 2015-02-06 |
| 1245620004 | Amy Elizabeth Hahn | Pharmacy Technician | 2905 District Ave, Suite 400, Fairfax, VA 22031-2273 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912398330 | Denise Higgins | Pharmacy Technician | 2905 District Ave S, 400, Fairfax, VA 22031 | 2015-02-06 |
| 1205212909 | Harrison J Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-08-04 |
| 1568854107 | Monica Anahita Fathipour Jalilian | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-18 |
| 1770974958 | Jenny Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-10 |
| 1164813325 | Sara Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-10 |
| 1124419528 | Kristina Kang | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1649661034 | Jay Grant Matthews Jr. | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1952792343 | Jimmy Le | Pharmacy Technician | 2905 District Ave, Ste 400, Fairfax, VA 22031-2273 | 2015-02-06 |
| 1497146963 | Merii Tikoyan | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 1811388390 | Porsha Moon | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 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.