Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780978080 Deactivated / Inactive NPI Female Practitioner

Nisa Ekarohita Fanou , RPH

Pharmacist • Arlington, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nisa Fanou has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2011
NPI Deactivation Date September 27, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Nisa Fanou, RPH was a registered Pharmacist practicing in Arlington, VA. Throughout an active medical career spanning 13 years, Nisa Fanou provided care at the practice location at 2425 N HARRISON ST until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

2425 N Harrison St

Arlington, VA 222071611

Telephone 7035328755
Fax 7035328548
Associated Practice Facility / Clinic
🏢 Harris Teeter, Llc Facility NPI 1346353018

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Arlington, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
185 Specialists

Practicing in Arlington, VA (6716 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202011953

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Vikas Jain

Pharmacist

NPI 1447888292
NPI 1558653667

Doctor of Pharmacy (Pharm.D.)

NPI 1720370513

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active June 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2011

Registered at 2425 N HARRISON ST, ARLINGTON, VA 222071611 (Tel: 7035328755)

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Updated Business Mailing Address June 03, 2011

Registered at 2425 N HARRISON ST, ARLINGTON, VA 222071611 (Tel: 7035328755)

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Provider Name / Credentials Updated June 03, 2011

Recorded as NISA FANOU, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2011

Pharmacist (License #0202011953 in VA)

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Initial NPI Registration & Enumeration June 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780978080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2011
Last Update: June 03, 2011
Deactivation Date: September 27, 2024

Mailing Address

2425 N Harrison St

Arlington, VA 222071611

Phone: 7035328755

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.