Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538769732 Individual Practitioner Female Practitioner

Cassandra Poullath

Pharmacist • Manassas, VA

Professional Overview & Biography Verified Profile Summary

Cassandra Poullath is a registered healthcare professional specializing in Pharmacist in Manassas, VA. Practice services are available at 9401 LIBERIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9401 Liberia Ave

Manassas, VA 201101718

Telephone 7032570864
Fax 7032576356
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1447277553

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Manassas, VA

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

Practicing in Manassas, 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: 2020-10-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202207998

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
NPI 1134005531

Pharmacist

Ila Pak

Pharmacist

NPI 1467052548
Naga Cherukuri

Pharmacist

NPI 1740880921

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2020

Registered at 9401 LIBERIA AVE, MANASSAS, VA 201101718 (Tel: 7032570864)

📍
Updated Business Mailing Address October 27, 2020

Registered at 8100 LANDFALL CT, GAINESVILLE, VA 201553803

👤
Provider Name / Credentials Updated October 27, 2020

Recorded as CASSANDRA POULLATH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2020

Pharmacist (License #0202207998 in VA)

🟢
Initial NPI Registration & Enumeration October 27, 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: 1538769732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2020
Last Update: October 27, 2020
Sole Proprietor: Yes

Mailing Address

8100 Landfall Ct

Gainesville, VA 201553803

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.