Healthcare Provider Details

I. General information

NPI: 1740959527
Provider Name (Legal Business Name): CAREPOINT FAMILY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6704 LEESA DAWN CT
MANASSAS VA
20112-7516
US

IV. Provider business mailing address

6704 LEESA DAWN CT
MANASSAS VA
20112-7516
US

V. Phone/Fax

Practice location:
  • Phone: 703-438-1285
  • Fax:
Mailing address:
  • Phone: 703-438-1285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JAMIL FAROOQ STANEKZAI
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 703-438-1285