Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487256129 Individual Practitioner Female Practitioner

Nichole Yvonne Henderson

Pharmacist • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Nichole Henderson is a registered healthcare professional specializing in Pharmacist in Fairfax, VA. Practice services are available at 13059 FAIR LAKES PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13059 Fair Lakes Pkwy

Fairfax, VA 22033

Telephone 7036314007
Fax 7036314758
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1689692337

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fairfax, VA

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

Practicing in Fairfax, 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

CMS Verified: 2020-11-06
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202012188

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

1 Associated Practitioners
NPI 1770185894

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2020

Registered at 13059 FAIR LAKES PKWY, FAIRFAX, VA 22033 (Tel: 7036314007)

📍
Updated Business Mailing Address November 09, 2020

Registered at 13108 PELFREY LN, FAIRFAX, VA 220333028 (Tel: 7036228834)

👤
Provider Name / Credentials Updated November 09, 2020

Recorded as NICHOLE HENDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2020

Pharmacist (License #0202012188 in VA)

🟢
Initial NPI Registration & Enumeration November 09, 2020

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: 1487256129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2020
Last Update: November 09, 2020
Sole Proprietor: No

Mailing Address

13108 Pelfrey Ln

Fairfax, VA 220333028

Phone: 7036228834

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.