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CHOCOLA DRUGS INC FAIRFAY NPI 1386738698


NPI Information

NPI: 1386738698
Provider Name: CHOCOLA DRUGS INC FAIRFAY

Doing Business As: RESTON LAKESIDE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1641 WASHINGTON PLZ N
RESTON, VA
ZIP 20190
Phone: (703) 471-4535
Get Directions

CHOCOLA DRUGS INC FAIRFAY is a pharmacy in Reston, VA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CHOCOLA DRUGS INC FAIRFAY NPI is 1386738698. The provider is registered as an organization entity type.
The provider Is Doing Business As Reston Lakeside Pharmacy.

The provider's business location address is:

1641 WASHINGTON PLZ N
RESTON, VA
ZIP 20190-305
Phone: (703) 471-4535
Fax: (703) 437-0040

The provider's authorized official is Lawrence Cohn .
The authorized official title is Owner and has the following contact phone number (703) 471-4535.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy0201000688VIRGINIAYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14804325OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
28506094MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.