FAIRFAX COUNTY HEALTH DEPARTMENT PHARMACY
NPI 1073548160
Pharmacy - Clinic Pharmacy in Fairfax, VA

NPI Status: Active since July 11, 2006

Contact Information

3750 OLD LEE HIGHWAY
FAIRFAX, VA
ZIP 22030
Phone: (703) 246-7113

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  • Organization
  • Pharmacy
  • Clinic Pharmacy
  • CLIA Number: 49D2098297
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 07-02-2025

About FAIRFAX COUNTY HEALTH DEPARTMENT PHARMACY

This page provides the complete NPI Profile along with additional information for Fairfax County Health Department Pharmacy, a provider established in Fairfax, Virginia operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1073548160 assigned on July 2006. The practitioner's primary taxonomy code is 3336C0002X with license number 0201001462 (VA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Fairfax County Health Department Pharmacy. The authorized official of this NPI record is Rosalyn Foroobar (Deputy Director For Health Services)

NPI
1073548160
Provider Legal Name
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Other Organization Name
FAIRFAX COUNTY HEALTH DEPARTMENT PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3750 OLD LEE HIGHWAY FAIRFAX, VA 22030
Location Phone
(703) 246-7113
Mailing Address
12000 GOVERNMENT CENTER PKWY SUITE 552 FAIRFAX, VA 22035
Mailing Phone
(703) 324-3360
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-11-2006
Last Update Date
12-11-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
0201001462
License State
VA
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSALYN FOROOBAR

Authorized Official Title
DEPUTY DIRECTOR FOR HEALTH SERVICES
Authorized Official Phone
(703) 246-2411

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8519161MEDICAID (05)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2098297
Facility Type
School/Student Health Service
Certificate Effective Date
July 03, 2023
Certificate Expiration Date
July 02, 2025
Laboratory Director
JANET STEWART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fairfax County Health Department Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAIRFAX COUNTY HEALTH DEPARTMENT PHARMACY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073548160
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014310416112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073548160 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538272844MRS. KATHLEEN MARCHELLO GILLIAM LCSW
Individual
Social Worker (Clinical)3750 OLD LEE HIGHWAY INFANT & TODDLER CONNECTION
FAIRFAX, VA 22030
(703) 246-7180
1801904727MS. PATRICIA LYNNE HINE MA CCC SLP
Individual
Speech-Language Pathologist3750 OLD LEE HIGHWAY
FAIRFAX, VA 22030
(703) 246-7308
1760573596MR. JONATHAN ARTHUR BUTH RPH
Individual
Pharmacist3750 OLD LEE HIGHWAY
FAIRFAX, VA 22030
(703) 276-7113
1194844878 SHARON DORHOFFER
Individual
Specialist3750 OLD LEE HIGHWAY
FAIRFAX, VA 22030
(917) 273-9619
1962645721 DIANE MARIE GRINAGE M.A., M.S. - CCC/SLP
Individual
Speech-Language Pathologist3750 OLD LEE HIGHWAY
FAIRFAX, VA 22030
(703) 246-7194

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073548160, enumerated in the NPI registry as an "organization" on July 11, 2006

The provider is located at 3750 Old Lee Highway Fairfax, Va 22030 and the phone number is (703) 246-7113

This medical organization specializes in Pharmacy with taxonomy code 3336C0002X with a focus in Clinic Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 49D2098297 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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