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JENNIFER WALTERS CHILDRESS PHARMD
NPI 1063172393
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fairfax, VA

Active since December 28, 2021
10777 MAIN ST, FAIRFAX, VA 22030(443) 848-6333 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Walters Childress Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER WALTERS CHILDRESS PHARMD (NPI 1063172393) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fairfax, Virginia, licensed in Virginia (0202217206) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1063172393
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameJENNIFER WALTERS CHILDRESSCredential: PHARMD
Location Address10777 MAIN STFairfax, VA 22030-6903
Mailing Address5824 Oak Leather DrBurke, VA 22015-2433 · (443) 848-6333
Phone(443) 848-6333
Sole ProprietorNo
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1063172393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in VA · 0202217206
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

10777 MAIN ST, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LORRAINE MARY MCLEAN F.N.P.
Nurse Practitioner (Family)
10777 MAIN ST, SUITE 203
FAIRFAX, VA 22030
Fairfax City (703) 246-2433
DR. GLORIA AYEYIDWOM ADDO AYENSU MD MPH
Preventive Medicine (Public Health & General Preventive Medicine)
10777 MAIN ST, #203
FAIRFAX, VA 22030
Fairfax City (703) 246-2479
DR. PETER THOMAS TROELL JR. MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
10777 MAIN ST, SUITE 211
FAIRFAX, VA 22030
Fairfax City (703) 246-2433
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Clinic/Center (Dental)
10777 MAIN ST, SUITE 202
FAIRFAX, VA 22030
Fairfax City (703) 246-8695
DR. REGINA M MILTEER MD
Pediatrics
10777 MAIN ST, SUITE 300
FAIRFAX, VA 22030
Fairfax City (703) 246-6015
DR. RAJAA SATOURI MD
Preventive Medicine (Public Health & General Preventive Medicine)
10777 MAIN ST
FAIRFAX, VA 22030
Fairfax City (703) 246-2479
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Clinic/Center (Public Health, State or Local)
10777 MAIN ST, SUITE 202
FAIRFAX, VA 22030
Fairfax City (703) 246-8695
MRS. RIETA SCOTT NP
Nurse Practitioner
10777 MAIN ST, SUITE 203
FAIRFAX, VA 22030
Fairfax City (703) 246-8643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Childress's NPI number?

The NPI number for Jennifer Childress is 1063172393. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Jennifer Childress located?

Jennifer Childress practices at 10777 Main St, Fairfax, VA 22030. The listed phone number is (443) 848-6333.

What is Jennifer Childress's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jennifer Childress was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.