MEDICARE: CHOCOLA DRUGS INC FAIRFAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	0201000688	VA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4804325	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1386738698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOCOLA DRUGS INC FAIRFAY

Provider Business Mailing Address
First Line	:	1641 WASHINGTON PLZ N
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20190-4305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 WASHINGTON PLZ N
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20190-4305
Country	:	US
Telephone Number	:	703-471-4535
Fax Number	:	703-437-0040

Authorized Official
Title or Position	:	OWNER
Name	:	LAWRENCE COHN
Credential	:	PHARMACIST
Telephone Number	:	703-471-4535

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1427745181 — AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES DC PC
Practice Location Address:

1860 TOWN CENTER DR STE 130
RESTON, VA
20190-5898

Practice Phone: 703-689-2050
Practice Fax: 703-858-7224

1235062282 — ALLISON HILL CCC-SLP
Practice Location Address:

1768 BUSINESS CENTER DR STE 330
RESTON, VA
20190-4882

Practice Phone: 703-679-7837
Practice Fax:

1659335438 — RESTON SURGERY CENTER, LP
Practice Location Address:

1860 TOWN CENTER DR , SUITE G100
RESTON, VA
20190-5896

Practice Phone: 703-639-3100
Practice Fax: 703-639-3139

1447184502 — MING CHU
Practice Location Address:

11511 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 703-966-2394
Practice Fax:

1285568386 — TELAI SAMON RIVERS
Practice Location Address:

11517 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 571-777-9200
Practice Fax:

1619455912 — SARAH DOWNER NP-BC
Practice Location Address:

1860 TOWN CENTER DRIVE, SUITE 140
RESTON, VA
20190-5898

Practice Phone: 703-737-6010
Practice Fax:

Directions to “CHOCOLA DRUGS INC FAIRFAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.