Healthcare Provider Details

I. General information

NPI: 1912819434
Provider Name (Legal Business Name): VINH V CHAU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8095 INNOVATION PARK DR
FAIRFAX VA
22031-4868
US

IV. Provider business mailing address

9588 INVERARY CT
LORTON VA
22079-1915
US

V. Phone/Fax

Practice location:
  • Phone: 855-694-6682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223731
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: