DR. STELLA N KINTU (NPI# 1710353248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710353248 |
| Entity Type | Individual |
| Full Name | DR. STELLA N KINTU |
| Credential | PHARM.D |
| Practice Address |
4215 Dale Blvd Tds Health Woodbridge VA 22193-2243 |
| Mailing Address |
4215 Dale Blvd Woodbridge VA 22193-2243 |
| Practice Telephone | 7038971837 |
| Practice Fax Number | 7038974862 |
| Mailing Telephone | 7038781837 |
| Mailing Fax Number | 8664123880 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202012960 | VA | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0202012960 | VA | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH100001894 | DC | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
PH100001894 | DC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202012960 | VA | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
0202012960 | VA | Pharmacy Service Providers |
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
PH100001894 | DC | Pharmacy Service Providers |
| Street Address |
4215 DALE BLVD TDS HEALTH |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821145 | Tds Health Home Care LLC | Home Health Aide | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2020-04-29 |
| 1467975565 | Tds Health | Pharmacy | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2017-07-20 |
| 1952853061 | Well-care Corp | Nurse Practitioner | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-10-25 |
| 1720538754 | All In All Home Care, LLC | Home Health | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952771297 | Kennedy O Donkor | Pharmacist | 1497 Ranger Loop, 202, Woodbridge, VA 22191-5252 | 2015-09-29 |
| 1679937130 | Ying Yin Chen | Pharmacist | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2016-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363984 | Vandorn Apothecary | Pharmacist | 5724 Edsall Rd, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1285261701 | Kimberly Varney | Pharmacist | 401 N 12th St Dept Of, Richmond, VA 23298-5035 | 2020-03-25 |
| 1124651641 | Wintana T Tekleab | Pharmacist | 1201 S Eads St Apt 314, Arlington, VA 22202-2837 | 2020-02-13 |
| 1114557519 | Phillip Ryan Gray | Pharmacist | 2821 Hicks Road, North Chesterfield, VA 23235-0000 | 2020-01-24 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1609413376 | Laurie Ferguson Mauthe | Pharmacist | 5801 Pollard Dr, Richmond, VA 23226-1830 | 2019-12-02 |
| 1386124303 | Thomas W Taylor | Pharmacist | 240 Mclaws Circle, Suite 147, Williamsburg, VA 23185-2318 | 2018-08-20 |
| 1659886539 | Oscar Macapobre | Pharmacist | 1620 Cedar Rd Ste 100, Chesapeake, VA 23322-7197 | 2017-12-13 |
| 1598139040 | Tina Kathryn Brockman | Pharmacist | 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
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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.