Nisa Ekarohita Fanou , RPH
Pharmacist • Arlington, VA
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.
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
2425 N Harrison St
Arlington, VA 222071611
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Arlington, VA
Practicing in Arlington, VA (6716 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
Pharmacist
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 27, 2024
NPI status registered as active in NPPES database
Registered at 2425 N HARRISON ST, ARLINGTON, VA 222071611 (Tel: 7035328755)
Registered at 2425 N HARRISON ST, ARLINGTON, VA 222071611 (Tel: 7035328755)
Recorded as NISA FANOU, RPH
Pharmacist (License #0202011953 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2425 N Harrison St
Arlington, VA 222071611
Phone: 7035328755
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