TRACY LYNN O'DONNELL (NPI# 1962910448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962910448 |
| Entity Type | Individual |
| Full Name | TRACY LYNN O'DONNELL |
| Practice Address |
5581 Merchants View Sq Haymarket VA 20169-5439 |
| Practice Telephone | 7035818757 |
| Practice Fax Number | 7179608398 |
| Mailing Telephone | 7035818757 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202012967 | VA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202012967 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010328471 | 05 |
| Street Address |
5581 MERCHANTS VIEW SQ |
| City | HAYMARKET |
| State | VA |
| Zip Code | 20169-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801089 | Aesuk Jessica Kim | Pharmacist | 5581 Merchants View Sq, Haymarket, VA 20169-5439 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831608025 | Renu Kaur | Social Worker | 15709 Foleys Mill Place, Haymarket, VA 20169 | 2017-09-20 |
| 1760928188 | Meae Nam | Home Health Aide | 6429 Ashby Grove Loop, Haymarket, VA 20169 | 2017-01-09 |
| 1497177406 | Candy Faviola Suarez | Physician Assistant | 15195 Heathcote Blvd Ste 230, Haymarket, VA 20169 | 2014-01-09 |
| 1649617101 | Nicholas Dugan | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 | 2013-05-23 |
| 1336497049 | Wal-mart Stores East Lp | Technician/Technologist | 6530 Trading Square, Haymarket, VA 20169 | 2012-08-28 |
| 1750637641 | Hema R Gajula | Psychiatry & Neurology | 15195 Heathcote Blvd Ste 350, Haymarket, VA 20169 | 2012-07-27 |
| 1689950396 | Meskerem Getachew | Pharmacist | 15610 Admiral Baker Circle, Haymarket, VA 20169 | 2011-10-26 |
| 1770861213 | Jenna Siracuse Loewer | Physical Therapist | 5401 Merchants View Sq, Haymarket, VA 20169 | 2011-08-02 |
| 1669767679 | Jeff Moon | Dentist | 6735 Leaberry Way, Haymarket, VA 20169 | 2011-06-17 |
| 1710159272 | David Wen | Psychologist | 6611 Jefferson St Ste 304, Haymarket, VA 20169 | 2008-03-25 |
| Find all providers in zip 20169 | ||||
| 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 |
|---|---|---|---|---|
| 1821631607 | Mahsa Haririnia | Pharmacist | 15302 Linville Creek Dr, Haymarket, VA 20169-6289 | 2019-10-23 |
| 1689950396 | Meskerem Getachew | Pharmacist | 15610 Admiral Baker Circle, Haymarket, VA 20169 | 2011-10-26 |
| 1609064161 | Malikah Hafeeza Day | Pharmacist | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2007-10-10 |
| 1942801089 | Aesuk Jessica Kim | Pharmacist | 5581 Merchants View Sq, Haymarket, VA 20169-5439 | 2020-11-05 |
| 1366042749 | Lisa Poe | Pharmacist | 6530 Trading Sq, Haymarket, VA 20169-2278 | 2020-10-27 |
| 1467052845 | Tina Firestone | Pharmacist | 6530 Trading Sq, Haymarket, VA 20169-2278 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366254 | Mai Ngo | Pharmacist | 3768a Madison Ln, Falls Church, VA 22041-3678 | 2020-11-07 |
| 1619578358 | Mina Ekdawi | Pharmacist | 45735 Smoketree Ter, Sterling, VA 20166-7202 | 2020-11-07 |
| 1427659275 | Zachary Charles Woodley | Pharmacist | 151 Canterbury Ln, Winchester, VA 22603-4320 | 2020-11-06 |
| 1528669439 | Mary Nakbeen | Pharmacist | 41196 Canongate Dr, Leesburg, VA 20175-7072 | 2020-11-06 |
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1396346466 | Carl Nielsen | Pharmacist | 25050 Riding Plz, Chantilly, VA 20152-5925 | 2020-11-05 |
| 1598366460 | Gita Karimianpour | Pharmacist | 1070 Old Trail Dr, Crozet, VA 22932-3341 | 2020-11-05 |
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1669073888 | Chanju Shim | Pharmacist | 21000 Southbank St, Sterling, VA 20165-7242 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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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.