NPI 1912016940 · live from the CMS NPI Registry
Acariahealth Pharmacy, INC.
Pharmacy in Fairfax, VA. National Provider Identifier 1912016940, active.
NPI record
| NPI | 1912016940 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 8505 Arlington Blvd, Suite 110, Fairfax, VA 22031 |
| Practice phone | 703-846-9912 |
| Mailing address | 6923 Lee Vista Blvd., Suite 300, Orlando, FL 32822 |
| Enumerated | August 30, 2006 |
| Last updated | May 18, 2017 |
| Authorized official | Stephen Jensen, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.