Organization · Type 2 NPI

Monument-Fairfax, LLC

Long Term Care Pharmacy · Fairfax, VA

NPI number 1700401452 Active

Practice location

11230 Waples Mill Rd Ste 115
Fairfax, VA 22030-5026

Fax (703) 272-7497

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Fairfax

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NPI record

NPI: 1700401452
Entity type: Organization (Type 2)
Issued: Jun 9, 2020
Last updated: Oct 10, 2023
Status: Active

Other names

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Revolution Meds Pharmacy · doing business as
Revolution Meds Pharmacy, Inc. · former legal business name

Authorized official

Patrick F Downing
COO
(410) 276-7586

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700401452

Monument-Fairfax, LLC's National Provider Identifier is 1700401452, issued on Jun 9, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Fairfax, VA. The record was last updated on Oct 10, 2023.